Active NPI
Janet Willis, PH.D., PLLC
- Community/Behavioral Health Agency
- Tulsa, OK
National Provider Identifier
1073962569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 566
- Legal business name
- JANET WILLIS, PH.D., PLLC
- Practice address
- 4815 S Harvard Ave
Suite 525
Tulsa, OK 74135-3055 - Phone
- (918) 619-9060
- Fax
- (918) 289-0436
- NPI assigned
- Jun 6, 2016
- Last updated
- Jun 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Janet Willis, RN, PH.D.
- Title
- Owner/RN/Psychologist
- Phone
- (918) 640-2632
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 566 | OK | Primary |
Addresses
Primary practice location
4815 S Harvard Ave
Suite 525
Tulsa, OK 74135-3055
Mailing address
4815 S Harvard Ave
Suite 525
Tulsa, OK 74135-3055
Phone (918) 619-9060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10083921A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
4815 S Harvard Ave
Ste 525
Tulsa, OK 74135
Phone (918) 619-9060
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cognitive & Behavioral Psychologist
- Tulsa, OK
- NPI 1053331280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465171200000",
"number": "1073962569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 S HARVARD AVE",
"address_2": "SUITE 525",
"city": "TULSA",
"state": "OK",
"postal_code": "741353055",
"telephone_number": "918-619-9060",
"fax_number": "918-289-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 S HARVARD AVE",
"address_2": "SUITE 525",
"city": "TULSA",
"state": "OK",
"postal_code": "741353055",
"telephone_number": "918-619-9060",
"fax_number": "918-289-0436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANET WILLIS, PH.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-06",
"last_updated": "2016-06-06",
"status": "A",
"authorized_official_last_name": "WILLIS",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "OWNER/RN/PSYCHOLOGIST",
"authorized_official_telephone_number": "918-640-2632",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "RN, PH.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OK",
"license": "566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10083921A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.