Maurice Nicholas Willis

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

License

10990 Issued in AZ

Practice address

1213 E Echo LN
Phoenix, AZ 85020-3827

Phone

(602) 242-0842

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043367352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 E ECHO LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203827",
            "telephone_number": "602-242-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 E ECHO LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203827",
            "telephone_number": "602-242-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "MAURICE",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "10990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Louise Willis, M.D.
• Joshua Willis, MD
• Joyce Margaret Willis, LPC
• Latanya Maria Willis, FNP
• Lateisha Lynn Vantrice Willis, CNA
• Nakia Andrea Willis
• Nina Semnani Willis, D.O.
• Steven Willis, D.O.
• Nicholas Willius, DO
• Christina L.S. Willman, PA-C

• Child Mental Illness Respite Care in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Child Mental Illness Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.