Marcy Willard, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4389 Issued in CO

Practice address

11001 W 120TH Ave Ste 400
Broomfield, CO 80021-3493

Phone

(303) 222-7923

NPI assigned

Nov 4, 2024

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

• Marcy Leffingwell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1447073879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6829 S BOULDER RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034334",
            "telephone_number": "303-618-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 W 120TH AVE STE 400",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213493",
            "telephone_number": "303-222-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "MARCY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "4389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCY",
            "last_name": "LEFFINGWELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Wick, MA, LPC, CAS
• Jacqueline Wierimaa
• Jaye Tedeschi Wike
• Kylie Wilkerson
• Natalie Walker Wilkerson, DPT
• Lynne D. Willbanks, M.S.
• William R. Mackie II, D.D.S., P.C.
• Duncan Williams
• Jade Aspen Williams, LPC
• Maxwell Schuller Williams, PA

• Clinical Psychologist in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.