NPIMap

Organization Active NPI

Richard K. Willens, PSYD LLC

  • Clinical Child & Adolescent Psychologist
  • Winter Park, FL
National Provider Identifier
1427407238
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
RICHARD K. WILLENS, PSYD LLC
Practice address
1155 Louisiana Ave Ste 106
Winter Park, FL 32789-2351
Phone
(406) 629-4356
NPI assigned
Jun 13, 2016
Last updated
Jun 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Dr. Richard Kenneth Willens, PSY.D.NPI 1679627475
Title
Owner
Phone
(407) 629-4356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X NU Primary

Addresses

Primary practice location

1155 Louisiana Ave Ste 106
Winter Park, FL 32789-2351

Mailing address

1155 Louisiana Ave Ste 106
Winter Park, FL 32789-2351
Phone (406) 629-4356

National Provider Directory

National Provider Directory

Locations

1155 Louisiana Ave
Ste 106
Winter Park, FL 32789
Phone (407) 629-4356

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1427407238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 LOUISIANA AVE STE 106",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892351",
            "telephone_number": "406-629-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 LOUISIANA AVE STE 106",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892351",
            "telephone_number": "406-629-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD K. WILLENS, PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "WILLENS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-629-4356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.