MRS. PATRICIA ANN WILLIS (NPI# 1871620583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871620583 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA ANN WILLIS |
| Credential | M.A.,LLP |
| Practice Address |
43740 N Groesbeck Hwy Clinton Twp MI 48036-1139 |
| Mailing Address |
4210 Lakewood Dr Waterford MI 48329-3849 |
| Practice Telephone | 5864697802 |
| Practice Fax Number | 5864697662 |
| Mailing Telephone | 2487978259 |
| Mailing Fax Number | 5864697662 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
6301010461 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111009 | Patricia Willis | Licensed Practical Nurse | 18650 Lauder St, Detroit, MI 48235-2758 | 2018-04-06 |
| 1851564660 | Patricia Lorraine Willis | Speech-Language Pathologist | 1108 Grant St, Waukesha, WI 53186-6321 | 2008-04-12 |
| 1720250384 | Patricia Ann Willis | Registered Nurse | 3458 Westwood Dr, Salt Lake City, UT 84109-3239 | 2008-03-24 |
| 1386869329 | Patricia Hutcheson Willis | Physical Therapist | 147 Roe Hampton Ln, Stone Mountain, GA 30087-2503 | 2007-04-16 |
| 1811062359 | Patricia Willis | Respite Care | 541 N Lewis, Mesa, AZ 85201-5910 | 2006-11-21 |
| 1356801856 | Patricia Ann Willis | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-03-21 |
| 1720565120 | Patricia M. Willis | Pharmacist | 80 Town Line Rd, Rocky Hill, CT 06067-1249 | 2018-07-27 |
| 1538559497 | Patricia Willis | Counselor | 420 Kellogg Ave, Ames, IA 50010-6226 | 2015-01-30 |
| 1457752628 | Patricia Ann Willis | Nurse Practitioner | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2014-09-08 |
| 1255762225 | Patricia Willis | Social Worker | 10 Peterboro St, Detroit, MI 48201-2722 | 2013-12-02 |
| Street Address |
43740 N GROESBECK HWY |
| City | CLINTON TWP |
| State | MI |
| Zip Code | 48036-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255385399 | Macomb County Community Mental Health | Clinic/Center | 43740 N Groesbeck Hwy, Clinton Twp, MI 48036-1139 | 2006-05-22 |
| 1447863246 | Linda R Yaldo | Case Manager/Care Coordinator | 43740 N Groesbeck Hwy, Clinton Twp, MI 48036-1139 | 2020-08-31 |
| 1588027296 | Paul Anthony Catanese | Social Worker | 43740 N Groesbeck Hwy, Clinton Twp, MI 48036-1139 | 2016-03-30 |
| 1427420876 | Tyleen Nicholas | Counselor | 43740 N Groesbeck Hwy, Clinton Twp, MI 48036-1139 | 2015-10-26 |
| 1639595093 | Tinisha Meadows | Community Health Worker | 43740 N Groesbeck Hwy, Clinton Twp, MI 48036-1139 | 2014-03-10 |
| 1992127252 | Elizabeth Hickey | Registered Nurse | 43740 N Groesbeck Hwy, Clinton Twp, MI 48036-1139 | 2014-01-06 |
| 1881023141 | Laura Susan Maurer | Social Worker | 43740 N Groesbeck Hwy, Clinton Twp, MI 48036-1139 | 2013-11-07 |
| 1922383538 | Roger Arnold Zinke Jr. | Registered Nurse | 43740 N Groesbeck Hwy, Clinton Twp, MI 48036-1139 | 2011-10-14 |
| 1942596663 | Pamela L Dina | Registered Nurse | 43740 N Groesbeck Hwy, Clinton Twp, MI 48036-1139 | 2011-06-21 |
| 1497045595 | Amy Laurene Bruno | Social Worker | 43740 N Groesbeck Hwy, Clinton Twp, MI 48036-1139 | 2011-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728918 | Joseph John Memminger IIi | Pathology | 23885 Denton St Ste B, Clinton Township, MI 48036 | 2018-01-13 |
| 1124563267 | Melinda Fiends | Social Worker | 42950 Stepnitz, Clinton Township, MI 48036 | 2016-12-28 |
| 1689119729 | The Salvation Army Harbor Light Macomb | Substance Abuse Rehabilitation Facility | 42950 Stepnitz Drive, Clinton Township, MI 48036 | 2016-12-28 |
| 1639573033 | Mycare Health Center | Clinic/Center | 43740 Groesbeck, Clinton Township, MI 48036 | 2014-10-14 |
| 1427368992 | Prestigious Transportation | Non-emergency Medical Transport (VAN) | 22931 N.nunneley Apt. 203, Clinton Township, MI 48036 | 2010-10-18 |
| 1649413436 | Robert B Hengehold | Pharmacist | 37165 Groesbeck Hwy., Clinton Twp., MI 48036 | 2009-04-09 |
| 1548408461 | Rodolfo Sia Yapchai | Internal Medicine | 37900 Saddle Lane, Clinton Twp, MI 48036 | 2009-01-30 |
| 1811135775 | Anthony Frank Balcerzak | Rehabilitation Counselor | 38516 N Gratiot Avenue, Clinton Twp, MI 48036 | 2009-01-30 |
| 1508034661 | Laurie J Church | Counselor | 22800 Hall Rd Ste 240, Clinton Township, MI 48036 | 2008-02-12 |
| 1912128182 | Phyllis Ann Billings-mcneil | Social Worker | 38251 Groesbeck Highway, Clinton Twp, MI 48036 | 2007-05-02 |
| Find all providers in zip 48036 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033393442 | Baddigam Family Psychiatric Assoc | Psychologist | 15500 19 Mile Rd, Ste 310, Clinton Twp, MI 48038-6330 | 2007-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045245 | Sharae Lacrasha Hill | Psychologist | 15920 Fenkell St, Detroit, MI 48227-1970 | 2019-10-19 |
| 1811554470 | Wild Blooms Therapy LLC | Psychologist | 5840 N Canton Center Rd Ste 282, Canton, MI 48187-2614 | 2019-05-20 |
| 1538655055 | Shoine Miller | Psychologist | 16127 Riverview St, Detroit, MI 48219-3722 | 2018-07-09 |
| 1245720515 | Rynicia Caldwell | Psychologist | 9355 Patton St, Detroit, MI 48228-1505 | 2018-05-12 |
| 1124533344 | Selina Douglass | Psychologist | 16999 Morrison St, Southfield, MI 48076-2016 | 2017-12-11 |
| 1316451065 | Ntl Adult Foster Care | Psychologist | 1056 Bates St Se, Grand Rapids, MI 49506-2681 | 2017-11-16 |
| 1235529017 | Count Your Blessings Tlc, Inc | Psychologist | 2250 W Euclid St, Detroit, MI 48206-2403 | 2015-01-30 |
| 1578964656 | In The Valley Adult Day Center | Psychologist | 17581 James Couzens Fwy, Detroit, MI 48235-2643 | 2014-09-09 |
| 1417037797 | Wayne Center | Psychologist | 100 River Place Dr, Suite 250, Detroit, MI 48207-4274 | 2006-10-17 |
| 1528043544 | Hope Network - Rehabilitation Services | Psychologist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2005-12-13 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TWP |
| Zip Code | 48036 |
Please comment or provide details below to improve the information on MRS. PATRICIA ANN WILLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.