DR. STEPHEN WILLIS (NPI# 1134581986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134581986 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN WILLIS |
| Credential | PH.D. |
| Practice Address |
4460 Redwood Hwy # 16-320 San Rafael CA 94903-1951 |
| Practice Telephone | 4159900997 |
| Mailing Telephone | 4159900997 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
13111 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356648836 | Stephen Willis | Pharmacist | 592 Lancaster Hwy, Chester, SC 29706-1658 | 2011-02-18 |
| 1255581658 | Stephen I Willis | Physician Assistant | 400 E 5th Ave, Spokane, WA 99202-1334 | 2008-09-23 |
| 1932221348 | Stephen Dean Willis | Pharmacist | 402 E Main St, Central City, IA 52214-9454 | 2007-04-04 |
| 1629139076 | Stephen Willis | Internal Medicine | 1100 Wescott Dr, Suite 201, Flemington, NJ 08822-4673 | 2006-12-12 |
| 1194737932 | Stephen Willis | Social Worker | 1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314-5641 | 2006-08-12 |
| 1598748246 | Stephen E Willis | Family Medicine | 600 Moye Blvd, Family Practice Center, Greenville, NC 27834-4300 | 2005-11-28 |
| Street Address |
4460 REDWOOD HWY # 16-320 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871135665 | Tina M Galordi | Psychologist | 1414 4th St Ste 201, San Rafael, CA 94901-2857 | 2019-10-13 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1720367956 | Albert Wong | Psychologist | 1 H Street, Suite 203, San Rafael, CA 94901 | 2011-08-05 |
| 1932497377 | Jessica Erin Pullins | Psychologist | 1299 4th St Ste 401, San Rafael, CA 94901-3030 | 2011-07-19 |
| 1194031872 | Duy D. Vu | Psychologist | 4460 Redwood Hwy Ste 16-303, San Rafael, CA 94903-1951 | 2010-08-19 |
| 1871826487 | Aninha Esperanza Livingstone | Psychologist | 700 E St San Rafael Ca 94901, Suite 201, San Rafael, CA 94901 | 2009-09-14 |
| 1609012574 | Ruud Vanwijnen | Psychologist | 15 North Ave, 2-a, San Rafael, CA 94903-4823 | 2008-12-26 |
| 1033386768 | Boukje Elisabeth Eerkens | Psychologist | 101 Lucas Valley Rd Ste 269, San Rafael, CA 94903-1761 | 2008-05-12 |
| 1255547154 | Geraldine Alpert | Psychologist | 33 Bungalow Ave, San Rafael, CA 94901-5140 | 2007-05-15 |
| 1447471891 | Stacey M Rodgers | Psychologist | 1330 Lincoln Ave Ste 108-b, San Rafael, CA 94901-2141 | 2007-05-02 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on DR. STEPHEN 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.