MRS. SHIRLEY ANNE WILLIS PH.D.
NPI 1023184264
Psychologist in Arlington, TX

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
2340 W INTERSTATE 20, BLDG. HR-II, STE. 206, ARLINGTON, TX 76017(814) 466-2585(817) 466-2596 Get Directions Write a Review

NPPES record last updated: March 22, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Shirley Anne Willis Ph.d. NPPES

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

MRS. SHIRLEY ANNE WILLIS PH.D. (NPI 1023184264) is an individual psychologist in Arlington, Texas, licensed in Texas (21860) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (1990).

NPPES Registry Identity

NPI1023184264
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMRS. SHIRLEY ANNE WILLISCredential: PH.D.
Location Address2340 W INTERSTATE 20, BLDG. HR-II, STE. 206Arlington, TX 76017-7620
Mailing Address2340 W Interstate 20, Bldg. Hr-ii, Ste. 206Arlington, TX 76017-7620 · (814) 466-2585 · Fax (817) 466-2596
Fax(817) 466-2596
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1990
Enumeration DateNovember 28, 2006
Last NPPES UpdateMarch 22, 2012
NPI 1023184264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in TX · 21860
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

2340 W INTERSTATE 20, Arlington, TX 76017

Other Identifiers 5

Medicare ID-Type Unspecified00H45RTX
Medicaid096833101TX
Medicare PIN00H45RTX
Other00H45RTX · Bcbs
Medicare UPIN135238706TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shirley Anne Willis Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547152852
PECOS Enrollment IDI20040329001711
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
249 services25 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

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 Shirley Willis's NPI number?

The NPI number for Shirley Willis is 1023184264. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Shirley Willis located?

Shirley Willis practices at 2340 W Interstate 20 Bldg. Hr-Ii, Ste. 206, Arlington, TX 76017. The listed phone number is (814) 466-2585.

What is Shirley Willis's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Shirley Willis enrolled in Medicare?

Yes. Shirley Willis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shirley Willis accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Shirley Willis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shirley Willis was last updated on March 22, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.