SUSAN WILLIS (NPI# 1043315187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043315187 |
| Entity Type | Individual |
| Full Name | SUSAN WILLIS |
| Credential | MD |
| Practice Address |
3123 Fairview Ave E Seattle WA 98102-3051 |
| Practice Telephone | 2063244500 |
| Practice Fax Number | 2063281257 |
| Mailing Telephone | 2063244500 |
| Mailing Fax Number | 2063281257 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD00028003 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1066174 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669956553 | Susan Willis | Pharmacist | 712 Highway 371, Mooreville, MS 38857-7356 | 2018-09-18 |
| 1689627945 | Susan Elizabeth Willis | Psychologist | 1066 W 4th St, Winston-salem, NC 27101-2434 | 2006-05-18 |
| 1619975448 | Susan M. Willis | Nurse Anesthetist, Certified Registered | 7205 Lake Mead Blvd, Arlington, TX 76016-4137 | 2005-07-14 |
| 1417415340 | Susan R Willis | Counselor | 3086 State Route 160, Gallipolis, OH 45631-8409 | 2019-03-11 |
| 1528422938 | Susan Willis | Counselor | 6 Roberts Rd, Asheville, NC 28803-8699 | 2016-04-12 |
| 1396080396 | Susan Donna Willis | Nurse Practitioner | 6608 Mercy Ct Ste C, Fair Oaks, CA 95628-3171 | 2012-12-01 |
| 1316268832 | Susan Diane Willis | Marriage & Family Therapist | 3951 Performance Dr, Suite #g, Sacramento, CA 95838-3264 | 2010-06-18 |
| 1467652180 | Susan E Willis | Psychologist | 1625 The Alameda, Suite 404, San Jose, CA 95126-2220 | 2007-07-20 |
| 1578685780 | Susan Amy Willis | Counselor | 599 Canal St, Lawrence, MA 01840-1244 | 2007-04-06 |
| 1346304557 | Susan E Willis | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2006-12-21 |
| Street Address |
3123 FAIRVIEW AVE E |
| City | SEATTLE |
| State | WA |
| Zip Code | 98102-3051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700275419 | Kennedy Therapy | Marriage & Family Therapist | 3123 Fairview Ave E, Seattle, WA 98102-3051 | 2015-01-19 |
| 1831525518 | Olivia Tarr | Marriage & Family Therapist | 3123 Fairview Ave E, Seattle, WA 98102-3051 | 2013-09-25 |
| 1851664973 | Michelle Lee Byrd | Counselor | 3123 Fairview Ave E, Suite 2a, Seattle, WA 98102-3051 | 2012-02-21 |
| 1063748960 | Brien Richard Wood | Counselor | 3123 Fairview Ave E, Seattle, WA 98102-3051 | 2009-10-27 |
| 1518126457 | Stephanie Buell Rooney | Psychologist | 3123 Fairview Ave E, Suite C, Seattle, WA 98102-3051 | 2008-06-05 |
| 1265631477 | Candice Boley | Psychiatry & Neurology | 3123 Fairview Ave E, Suite E, Seattle, WA 98102-3051 | 2007-07-17 |
| 1942407358 | Carolyn Elizabeth Mangelsdorf | Psychologist | 3123 Fairview Ave E, Suite C, Seattle, WA 98102-3051 | 2007-06-29 |
| 1932254992 | Shaun Anthony Rich | Counselor | 3123 Fairview Ave E, Suite C, Seattle, WA 98102-3051 | 2007-01-23 |
| 1215080858 | Charles W Huffine | Psychiatry & Neurology | 3123 Fairview Ave E, Seattle, WA 98102-3051 | 2007-01-18 |
| 1457404089 | Carol Cole | Psychologist | 3123 Fairview Ave E, Seattle, WA 98102-3051 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467549 | Karen Adepoju | Registered Nurse | Karen Adepoju, 1058 E Mercer St., Seattle, WA 98102 | 2020-11-05 |
| 1548745250 | Lara Lucia | Counselor | 2366 Eastlaske Ave E, Suite 335, Seattle, WA 98102 | 2018-09-27 |
| 1801380191 | Northwest Integrative Psychotherapy, Inc. P.s. | Psychologist | 3245 Fairview Ave E Ste 310, Seattle, WA 98102 | 2018-06-19 |
| 1700382488 | Sophie Marie Bjorkquist | Counselor | 431 Boylston Ave E Apt 101, Seattle, WA 98102 | 2018-04-02 |
| 1609309533 | Lola Mudgistratova | Student in an Organized Health Care Education/Training Program | 2339 Boylston Ave W, #2, Seattle, WA 98102 | 2017-04-07 |
| 1013463371 | Mamiko Kuriya Dds Ps | Clinic/Center | 530 Broadway East, Apt #502, Seattle, WA 98102 | 2016-08-28 |
| 1912369638 | Kyle M. Forrest | Counselor | 3123 Fairview Ave E., Suite 204, Seattle, WA 98102 | 2016-03-22 |
| 1215311642 | Seattle Therapy Services LLC | Occupational Therapist | 2517 Eastlake Ave E., Suite 102, Seattle, WA 98102 | 2015-07-15 |
| 1134509458 | Broadway Dental Center, Inc. | Clinic/Center | 310 Harvard Ave. E., Seattle, WA 98102 | 2015-06-02 |
| 1871970343 | Deborah J. Patterson | Counselor | 2366 Eastlake Ave. E., #423, Seattle, WA 98102 | 2015-05-04 |
| Find all providers in zip 98102 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285269449 | Helpprn Pllc | Psychiatry & Neurology | 7006 40th Ave Ne, Seattle, WA 98115-6006 | 2020-03-09 |
| 1215420963 | Jacob Markovitz Md Ps | Psychiatry & Neurology | 2208 Nw Market St Ste 501, Seattle, WA 98107-4098 | 2018-06-07 |
| 1972018042 | Amy Mok | Psychiatry & Neurology | 359 Nw 47th St, Seattle, WA 98107-4446 | 2017-12-11 |
| 1003279464 | Monica Kristin Samelson | Psychiatry & Neurology | 1613 E Alder St, Seattle, WA 98122-5622 | 2016-04-03 |
| 1891151031 | Joseph Doumit, Md, Pllc | Psychiatry & Neurology | 625 32nd Ave, Seattle, WA 98122-6335 | 2016-01-04 |
| 1780071415 | Matthew William Mackinnon | Psychiatry & Neurology | 800 5th Ave Ste 900, Seattle, WA 98104-3176 | 2015-04-21 |
| 1063800282 | Pacific Center for Neurostimulation, Pllc | Psychiatry & Neurology | 10740 Meridian Ave N Ste 205, Seattle, WA 98133-9010 | 2014-12-23 |
| 1447662531 | Jason Lee Garner | Psychiatry & Neurology | 4800 Sand Point Way Ne, Ms Oa.5.154, Seattle, WA 98105-3901 | 2014-05-23 |
| 1659791770 | Reza Hosseini Ghomi | Psychiatry & Neurology | 1959 Ne Pacific St Psychiatry Residency Program, Box 356560, Seattle, WA 98195-6560 | 2014-04-16 |
| 1891127643 | Johanna Landinez | Psychiatry & Neurology | 310 15th Ave E Bldg 4th, Seattle, WA 98112 | 2013-08-04 |
| Find all providers in SEATTLE | ||||
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| 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.