JEFFREY DARRELL WILLARD PHD
NPI 1336153154
Psychologist - Cognitive & Behavioral in Lancaster, PA

Q: What is Jeffrey Willard's NPI number?

The NPI number for Jeffrey Willard is 1336153154. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Jeffrey Willard's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Willard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 July 28, 2006PECOS EnrolledAccepts Medicare Assignment

790 NEW HOLLAND AVE, LANCASTER, PA 17602(717) 390-0353 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeffrey Darrell Willard Phd NPPES

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

JEFFREY DARRELL WILLARD PHD (NPI 1336153154) is an individual cognitive & behavioral provider in Lancaster, Pennsylvania, licensed in Pennsylvania (PS008966L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1336153154

Entity TypeIndividualMale

Primary Taxonomy103TB0200X

Provider Legal NameJEFFREY DARRELL WILLARDCredential: PHD

Location Address790 NEW HOLLAND AVELancaster, PA 17602-2137

Mailing Address320 Highland DrMountville, PA 17554-1232 · (717) 285-7121 · Fax (717) 285-2658

Phone(717) 390-0353

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJuly 28, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1336153154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

License✔ Licensed in PA · PS008966L

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

790 NEW HOLLAND AVE, Lancaster, PA 17602

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Other Identifiers 2

Medicare UPINP72855

Medicare ID-Type Unspecified064535LTD

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

Jeffrey Darrell Willard Phd 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 ID3577757889

PECOS Enrollment IDI20101101000591

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.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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