MR. ROGER F WILLIS III


Address: 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006
Phone: 9163953552

MR. ROGER F WILLIS III (NPI# 1770056491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770056491
Entity Type Individual
Full Name MR. ROGER F WILLIS III
Credential MA, OPT, SUD
Practice Address 4343 Williamsbourgh Dr
Sacramento
CA 95823-2006
Mailing Address 7190 Calvine Rd Apt 22
Sacramento
CA 95823-5720
Practice Telephone 9163953552
Mailing Telephone 9164598001
Enumeration Date 2019-01-04
Last Update Date 2019-10-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
10157 La Alegria Dr, Rancho Cordova, CA 956703109 9163642833
7190 Calvine Rd Apt 22, Sacramento, CA 958235720 9164598001

Other Providers ROGER WILLIS

NPI Name Taxonomy Address Enumeration
1477501815 Roger Cecil Willis Family Medicine 600 Miluk Drive, Coos Bay, OR 97420 2006-05-05
1639473531 Roger E.t. Willis Rehabilitation Practitioner 2821 White Peaks Ave, N Las Vegas, NV 89081-2437 2011-01-06
1386683423 Roger Willis Emergency Medicine 8026 Floyd Curl, San Antonio, TX 78229-3915 2006-06-05

Office Location

Street Address 4343 WILLIAMSBOURGH DR
City SACRAMENTO
State CA
Zip Code 95823-2006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104802289 Steven Ross Phillips Counselor 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 2005-12-20
1275140139 Ahjae Anderson Counselor 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 2020-09-25
1376175224 Marisela I Corona Counselor 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 2020-02-09
1376173948 Miriam Joelle Whyman Counselor 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 2020-01-22
1215572946 Robert Keith Miller Counselor 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 2019-11-18
1194374397 Fairy Mae Allen Counselor 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 2019-09-10
1861049314 Brittany Anne Lucchese Counselor 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 2019-08-20
1114572039 Amber Gueyger Counselor 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 2019-08-07
1972164192 Alyssia Jeaneese Mallory Counselor 4343 Williamsbourgh Dr, Sacramento, CA 95823 2019-06-27
1639732712 Monica Petersen Counselor 4343 Williamsbourgh Dr, Sacramento, CA 95823 2019-04-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396343422 Renee Yvonne Friesner Registered Nurse 6965 65th Street, Sacramento, CA 95823 2020-10-12
1790392165 Amanda Moore Technician 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 2020-09-29
1114562766 Daniel & Max, LLC Optometrist 4200 Florin Road, Suite C, Florin, CA 95823 2019-11-07
1396393823 Lannon Hope Gustafson Counselor 8573 E Southgate Dr., Sacramento, CA 95823 2019-08-28
1932768280 Sprenger Behavioral Medicine, Inc Psychiatry & Neurology 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 2019-06-11
1306316880 Evin Johnson Case Manager/Care Coordinator 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 2018-11-28
1902373095 Alexandra L Bourcy Family Medicine 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 2018-10-27
1891298923 Nicholas Joseph Henderson Behavior Technician 6500 47th Street Apt#76, Sacramento, CA 95823 2018-03-15
1427567098 Luz Maria Udave Behavior Technician 5435 Mack Rd Apt 87, Sacramento, CA 95823 2017-09-26
1417474743 Elizabeth Smithers Behavior Technician 5545 Sky Parkway #202, Sacramento, CA 95823 2017-08-28
Find all providers in zip 95823

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508472440 Jamie Lee Byrnes Counselor 777 12th St Ste 250, Sacramento, CA 95814-1929 2020-09-16
1104431519 Sally Kathleen Montazer Counselor 1134 Clinton Rd, Sacramento, CA 95825-7304 2020-09-11
1255958187 Douglas Benjamin Gudeman Counselor Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 2020-06-26
1972127611 Brianna Hope Barron Counselor 8950 Cal Center Dr Ste 160&165, Sacramento, CA 95826-3259 2020-05-28
1699398420 Selena Marie Brown Counselor 8084 Weeping Willow Ln, Sacramento, CA 95828-5395 2020-05-27
1346863222 Erin Harris Counselor 2819 Norcade Cir Apt 1, Sacramento, CA 95826-3427 2020-05-26
1023638566 Marta Yomara Rodriguez Counselor 5311 College Oak Dr Apt 16, Sacramento, CA 95841-2575 2020-04-24
1033739321 Yancey Outreach International Inc. Counselor 1457 Dreamy Way, Sacramento, CA 95835-1761 2020-04-16
1114554136 Cassandra Arlene Del Toro Ruiz Counselor 2403 Yreka Ave # 15, Sacramento, CA 95822-4466 2020-03-27
1952931487 Anisa Sims Counselor 2688 Stonecreek Dr Apt 137, Sacramento, CA 95833 2020-01-23
Find all providers in SACRAMENTO

Competitor

Search similar providers

City SACRAMENTO
Zip Code 95823

Improve Information

Please comment or provide details below to improve the information on MR. ROGER F WILLIS III.

Dataset Information

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.

Trending Searches