Jonathan R Willoughby (NPI# 1013433051, PAC ID# 5092045401) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1013433051 |
| PAC ID by PECOS | 5092045401 |
| Professional Enrollment ID | I20190927002144 |
| Full Name | Jonathan R Willoughby |
| Organization Legal Name | HAVEN BEHAVIORAL SERVICES OF ALBUQUERQUE LLC |
| Address |
5400 Gibson Boulevard Se 4th Floor Albuquerque NM 87108-4729 |
| Phone Number | 5052544500 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 0042466054 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5400 Gibson Boulevard Se, 4th Floor, Albuquerque, NM 87108-4729 | 5052544500 | HAVEN BEHAVIORAL SERVICES OF ALBUQUERQUE LLC |
| Organization Legal Name | HAVEN BEHAVIORAL SERVICES OF ALBUQUERQUE LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph F Nemeth | Nurse Practitioner | Haven Behavioral Services of Albuquerque LLC | 5400 Gibson Boulevard Se, 4th Floor, Albuquerque, NM 87108-4729 |
| Keira E Stevens | Nurse Practitioner | Haven Behavioral Services of Albuquerque LLC | 5400 Gibson Boulevard Se, 4th Floor, Albuquerque, NM 87108-4729 |
| Barbara A Gilmore | Nurse Practitioner | Haven Behavioral Services of Albuquerque LLC | 5400 Gibson Boulevard Se, 4th Floor, Albuquerque, NM 87108-4729 |
| Elizabeth Alonso-crosgrove | Clinical Social Worker | Haven Behavioral Services of Albuquerque LLC | 5400 Gibson Boulevard Se, 4th Floor, Albuquerque, NM 87108-4729 |
| Scott T Bernhardt | Clinical Social Worker | Haven Behavioral Services of Albuquerque LLC | 5400 Gibson Boulevard Se, 4th Floor, Albuquerque, NM 87108-4729 |
| Street Address |
5400 GIBSON BOULEVARD SE 4TH FLOOR |
| City | ALBUQUERQUE |
| State | NM |
| Zip | 87108-4729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph F Nemeth | Nurse Practitioner | Haven Behavioral Services of Albuquerque LLC | 5400 Gibson Boulevard Se, 4th Floor, Albuquerque, NM 87108-4729 |
| Keira E Stevens | Nurse Practitioner | Haven Behavioral Services of Albuquerque LLC | 5400 Gibson Boulevard Se, 4th Floor, Albuquerque, NM 87108-4729 |
| Barbara A Gilmore | Nurse Practitioner | Haven Behavioral Services of Albuquerque LLC | 5400 Gibson Boulevard Se, 4th Floor, Albuquerque, NM 87108-4729 |
| Elizabeth Alonso-crosgrove | Clinical Social Worker | Haven Behavioral Services of Albuquerque LLC | 5400 Gibson Boulevard Se, 4th Floor, Albuquerque, NM 87108-4729 |
| Scott T Bernhardt | Clinical Social Worker | Haven Behavioral Services of Albuquerque LLC | 5400 Gibson Boulevard Se, 4th Floor, Albuquerque, NM 87108-4729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer C Mccash | Clinical Social Worker | 301 Graceland Se D, Albuquerque, NM 87108 | |
| Joseph Gerard Vandenheuvel | Clinical Psychologist | 126 Monroe Ave Ne, Albuquerque, NM 87108-1247 | |
| Dominic Cagliostro | Clinical Social Worker | 146 Quincy St Ne, Albuquerque, NM 87108-1257 | |
| Cynthia Louise Nielsen | Nurse Practitioner | New Mexico Pac Services PC | 5201 Roma Ave Ne, Albuquerque, NM 87108-1334 |
| Eric W Metzler | Family Medicine | New Mexico Pac Services PC | 5201 Roma Ave Ne, Albuquerque, NM 87108-1334 |
| Decy Devere | Nurse Practitioner | New Mexico Pac Services PC | 5201 Roma Ave Ne, Albuquerque, NM 87108-1334 |
| Jennifer M Ramon | Nurse Practitioner | New Mexico Pac Services PC | 500 Louisiana Blvd Ne, Pc, Albuquerque, NM 87108-2051 |
| Trina C Parker | Hospitalist | New Mexico Pac Services PC | 500 Louisiana Blvd Ne, Pc, Albuquerque, NM 87108-2051 |
| Joanna A S Brightwater | Nurse Practitioner | New Mexico Pac Services PC | 500 Louisiana Blvd Ne, Pc, Albuquerque, NM 87108-2051 |
| Frank T Chinisci | Optometry | Albuquerque Associates of Optometry | 112 Hermosa Se, Sandia Vision Clinic, Albuquerque, NM 87108-2610 |
| Find all physicians in zip 87108 | |||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | ALBUQUERQUE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jonathan R Willoughby.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.