Christopher Scott Willis, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

107 Clock Tower SQ
Portsmouth, RI 02871-1396

Phone

(401) 742-3622

NPI assigned

Apr 21, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1982995247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WAMPUM RD",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028821622",
            "telephone_number": "401-742-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CLOCK TOWER SQ",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711396",
            "telephone_number": "401-742-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Walsh, LICSW
• Elizabeth Walshe
• Leslie Warren, MED
• Gabriel Wassouf, D.M.D.
• Jenna Louise Williams
• Jacklyn Colby Wilson, OT
• Susan Angell Winsor, LICSW
• Deborah Anne Winthrop
• James Graham Woodruff, PH.D
• Romelyn Valdez Woodruff, M.A.,R.N.,C.S.

• Psychologist in Portsmouth, RI
• Providers in Portsmouth, RI by specialty
• Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.