DR. WILLIS T VAN DYNE PSY D
NPI 1023123767
Psychologist - Clinical in Troy, NY

Q: What is Willis Van Dyne's NPI number?

The NPI number for Willis Van Dyne is 1023123767. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Willis Van Dyne's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Willis Van Dyne was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 21, 2006

41 2ND ST, TROY, NY 12180(518) 272-0506 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Willis T Van Dyne Psy D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIS T VAN DYNE PSY D (NPI 1023123767) is an individual clinical provider in Troy, New York, licensed in New York (006790) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1023123767

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. WILLIS T VAN DYNECredential: PSY D

Location Address41 2ND STTroy, NY 12180-3928

Mailing Address41 2nd StTroy, NY 12180-3928 · (518) 272-0506

Phone(518) 272-0506

Sole ProprietorYes

Enumeration DateAugust 21, 2006

Last NPPES UpdateApril 15, 2008

✔ NPI 1023123767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 006790

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

41 2ND ST, Troy, NY 12180

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Other Identifiers 2

Medicare PIN39241BNY

Medicare UPINR55310NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willis Van Dyne's NPI number?

The NPI number for Willis Van Dyne is 1023123767. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Willis Van Dyne located?

Willis Van Dyne practices at 41 2nd St, Troy, NY 12180. The listed phone number is (518) 272-0506.

What is Willis Van Dyne's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Willis Van Dyne was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.