Suzanne D. Wills, PH.D.

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

License

PS006526L Issued in PA

Practice address

1001 University Dr
Suite 4
State College, PA 16801-6600

Phone

(814) 234-4287

Fax

(814) 234-3572

NPI assigned

Jul 19, 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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477572691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 UNIVERSITY DR",
            "address_2": "SUITE 4",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016600",
            "telephone_number": "814-234-4287",
            "fax_number": "814-234-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 UNIVERSITY DR",
            "address_2": "SUITE 4",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016600",
            "telephone_number": "814-234-4287",
            "fax_number": "814-234-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "SUZANNE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "PA",
            "license": "PS006526L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "WI1675238",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS/NCAS",
            "identifier": "02083301",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Renee Williams
• John Donald Williams, PH.D.
• Kelsey Williams
• Shyanne Katherine Williams, PA-C
• Patrick Wills Jr.
• Gregory J Wilson, DO
• Keith B Wilson, PH.D., CRC, LPC, NCC
• Kevin William Wilson, M.D.
• Marvin D'Andre Wilson, PHD
• Tiffany Wilson, LMT

• Adult Development & Aging Psychologist in State College, PA
• Providers in State College, PA by specialty
• Adult Development & Aging Psychologist in Pennsylvania

• 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.