Sally Anne Willett, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0042386 Issued in MD

Practice address

9841 Broken Land Parkway
Suite 116
Columbia, MD 21046-0000

Phone

(301) 490-0778

Fax

(301) 498-4663

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sally Anne Waddington Professional name

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Joseph a. Maravi, LLC

  • Clinical Social Worker
  • Laurel, MD
  • NPI 1497232433
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1164515698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 BROKEN LAND PARKWAY",
            "address_2": "SUITE 116",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210460000",
            "telephone_number": "301-490-0778",
            "fax_number": "301-498-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9841 BROKEN LAND PARKWAY",
            "address_2": "SUITE 116",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210460000",
            "telephone_number": "301-490-0778",
            "fax_number": "301-498-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "SALLY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0042386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "WADDINGTON",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melissa A Wilkins, LCSW-C
• Avery Wilkinson
• Earl Vane Wilkinson III, M.D.
• Maryann Gniady Wilkinson, EDD,APRN/PMH
• Laura Susan Willemin, LCSW-C
• Maria O Willey, M.A., LCMFT
• Liberatha Deus William
• Shaneka Williams-Waddell, RBT
• Aalilyah Dashae Williams
• April Ruoshui Xu Williams

• Psychiatry Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; 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.