DR. JADA JERUSHA STEWART-WILLIS PH.D.
NPI 1699204594
Psychologist - Clinical in Bay Pines, FL

Active since June 06, 2017
10000 BAY PINES BLVD, BAY PINES, FL 33744(727) 398-6661 Get Directions Write a Review

NPPES record last updated: June 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jada Jerusha Stewart-willis Ph.d. NPPES

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

DR. JADA JERUSHA STEWART-WILLIS PH.D. (NPI 1699204594) is an individual clinical provider in Bay Pines, Florida, licensed in Florida (PY9818) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1699204594
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JADA JERUSHA STEWART-WILLISCredential: PH.D.
Location Address10000 BAY PINES BLVDBay Pines, FL 33744-8200
Mailing Address220 6th Ave N Apt 7St Petersburg, FL 33701-2430
Sole ProprietorNo
Enumeration DateJune 6, 2017
NPI 1699204594 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 FL · PY9818
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.
10000 BAY PINES BLVD, Bay Pines, FL 33744

Other Names 1

Former Name (1)Dr. Jada J. Stewart Ph.d.

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.

Social Worker (Clinical)
10000 BAY PINES BLVD, BAY PINES VAHCS
BAY PINES, FL 33744
Social Worker (Clinical)
10000 BAY PINES BLVD
BAY PINES, FL 33744
Pharmacist
10000 BAY PINES BLVD
BAY PINES, FL 33744
Social Worker (Clinical)
10000 BAY PINES BLVD
BAY PINES, FL 33744
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
10000 BAY PINES BLVD
BAY PINES, FL 33744
Student in an Organized Health Care Education/Training Program
10000 BAY PINES BLVD
BAY PINES, FL 33744
Pharmacist (Pharmacotherapy)
10000 BAY PINES BLVD, VA MEDICAL CENTER
BAY PINES, FL 33744
Dentist (General Practice)
10000 BAY PINES BLVD, MAIL CODE 160 BAY PINES VAHCS
ST. PETERSBURG, FL 33744

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 Jada Stewart-willis's NPI number?

The NPI number for Jada Stewart-willis is 1699204594. It was assigned to this individual provider in the NPPES registry on June 6, 2017. The provider is also known as Dr. Jada J. Stewart Ph.D..

Where is Jada Stewart-willis located?

Jada Stewart-willis practices at 10000 Bay Pines Blvd, Bay Pines, FL 33744. The listed phone number is (727) 398-6661.

What is Jada Stewart-willis'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 Jada Stewart-willis was last updated on June 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.