Judith Kay Willetts, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

B1-0000352 Issued in DE

Practice address

8 Polly Drummond Hill Rd
Newark, DE 19711-5703

Phone

(302) 738-6859

Fax

(302) 368-5309

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Dr. Judi Kay Willetts Other name

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pike Creek Psychological CenterGroup PAC ID 4385899855, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pike Creek Psychological Center

  • Psychologist
  • Newark, DE
  • NPI 1255407698
  Medicare reassignment Care Compare group Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1013084805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 POLLY DRUMMOND HILL RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115703",
            "telephone_number": "302-738-6859",
            "fax_number": "302-368-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 POLLY DRUMMOND HILL RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115703",
            "telephone_number": "302-738-6859",
            "fax_number": "302-368-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETTS",
        "first_name": "JUDITH",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B1-0000352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "246640",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH PROVIDER NUMBER",
            "identifier": "61-94404",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID#",
            "identifier": "51-0035PHD",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "159632",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHVAIORAL HEALTH",
            "identifier": "2110783",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDI",
            "last_name": "WILLETTS",
            "middle_name": "KAY",
            "prefix": "DR.",
            "credential": "PH.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Wile
• Kristin Wilhide, RN, BSN, CPN
• Ryan Cambridge Will
• Jodi Willems, LCPC
• JD Willetts II, PH.D.
• William B. Funk, M.D., PA
• William M Pollock, M.D., PA
• William R. Atkins Jr., M.D.
• Alton Allen Williams, O.D.
• Amanda Elizabeth Williams, FNP-BC

• Psychologist in Newark, DE
• Providers in Newark, DE by specialty
• Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.