JASON CYRIL WILLOUGHBY PSYD NPI 1811202443

NPI Information

NPI: 1811202443
Provider Name: JASON CYRIL WILLOUGHBY, PSYD
Classification: Psychologist - 103TC2200X
Entity Type: Individual

Specialization: Clinical Child & Adolescent

PECOS Registration: Yes

Address:
3401 EUDORA ST
DENVER, CO
ZIP 80207
Phone: (303) 300-6333
Get Directions

Jason Cyril Willoughby, PSYD is a clinical child and adolescent psychologist in Denver, CO. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. Jason Cyril Willoughby, PSYD NPI is 1811202443. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3401 EUDORA ST
DENVER, CO
ZIP 80207-500
Phone: (303) 300-6333

The NPI 1811202443 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/6/2010 and was last updated on 7/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	PSY.0003944	COLORADO	No
2	103TC2200X	Psychologist	Clinical Child & Adolescent	PSY.0003944	COLORADO	Yes
3	103TC2200X	Psychologist	Clinical Child & Adolescent			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	84281375	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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