Jerrie A Will, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS511 Issued in ME

Practice address

828 Main St
Sanford, ME 04073-3523

Phone

(207) 490-2100

Fax

(207) 490-2100

NPI assigned

Jan 21, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Martha G. Andrews

  • Audiologist
  • Sanford, ME
  • NPI 1770727679
  NPD (past)

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1588717573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 WEBHANNET DR",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040904225",
            "telephone_number": "207-490-2100",
            "fax_number": "207-490-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 MAIN ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040733523",
            "telephone_number": "207-490-2100",
            "fax_number": "207-490-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILL",
        "first_name": "JERRIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Raymond Wells, PMHNP
• Amy R Wentworth, LCPC-C
• Erica Wenzel
• Brittany Whitaker, DO
• Micralyn Denee Wiechman, APRN, FNP-C, ENP-C
• Joyce Ann Willard, RPH
• Kendra A Williams, LCSW, GC-C
• Shawnda Lyn Williams
• Stephanie Bruns Williams, PA-C
• Kathleen E Wilson, LCSW

• Psychologist in Sanford, ME
• Providers in Sanford, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.