Doron Willis

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

126643 Issued in CA

Practice address

18339 Collins St Apt 7
Tarzana, CA 91356-2423

Phone

(803) 447-0034

NPI assigned

May 11, 2017

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902332067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18339 COLLINS ST APT 7",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562423",
            "telephone_number": "803-447-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18339 COLLINS ST APT 7",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562423",
            "telephone_number": "803-447-0034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 N 7th St Apt L",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915012679",
            "country_code": "US",
            "telephone_number": "803-447-0034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4251 Mary Ellen Ave",
            "address_2": "Apt 4",
            "address_purpose": "LOCATION",
            "city": "Studio City",
            "state": "CA",
            "postal_code": "916041857",
            "country_code": "US",
            "telephone_number": "803-447-0034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "DORON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-07-21",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "126643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James W Williams
• Lynn Alexander Williams, BCBA
• Oshikeya V Williams
• Tina Maria Williams
• Britney Willis
• Kurt Willis, RN
• Robert Willis, R.R.W.
• Kyle Nathaniel Willsey, DO
• Karina Wilson
• Michelle Wilson, B.A.

• Marriage & Family Therapist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.