DR. WILLIE J. COLEMAN JR. PH.D.
NPI 1699799932
Psychologist in Groton, CT

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
481 GOLD STAR HWY, SUITE 301, GROTON, CT 06340(860) 405-0490(860) 885-0384 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Willie J. Coleman Jr. Ph.d. NPPES

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

DR. WILLIE J. COLEMAN JR. PH.D. (NPI 1699799932) is an individual psychologist in Groton, Connecticut, licensed in Connecticut (000919) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1699799932
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. WILLIE J. COLEMAN JR.Credential: PH.D.
Location Address481 GOLD STAR HWY, SUITE 301Groton, CT 06340-6224
Mailing AddressPo Box 2081Salem, CT 06420-2081 · (860) 405-0490 · Fax (860) 449-9146
Fax(860) 885-0384
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateJuly 27, 2006
Last NPPES UpdateApril 16, 2013
NPI 1699799932 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 CT · 000919
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.
481 GOLD STAR HWY, Groton, CT 06340

Other Identifiers 2

Medicare ID-Type Unspecified680001745CT · Medicare Provider Number
Medicaid004048088CT

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

Dr. Willie J. Coleman Jr. 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 ID2860387321
PECOS Enrollment IDI20051219000089
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.

Other Providers at the Same Location NPPES 15

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

Physical Therapist
481 GOLD STAR HWY, SUITE 201
GROTON, CT 06340
Social Worker (Clinical)
481 GOLD STAR HWY, SUITE 301
GROTON, CT 06340
Internal Medicine
481 GOLD STAR HWY, SUITE 100
GROTON, CT 06340
Marriage & Family Therapist
481 GOLD STAR HWY, SUITE 301
GROTON, CT 06340
Nurse Practitioner (Family)
481 GOLD STAR HWY, SUITE 100
GROTON, CT 06340
Clinic/Center (Federally Qualified Health Center (FQHC))
481 GOLD STAR HWY, SUITE 100
GROTON, CT 06340
Family Medicine
481 GOLD STAR HWY, SUITE 100
GROTON, CT 06340
Marriage & Family Therapist
481 GOLD STAR HWY, SUITE 301
GROTON, CT 06340

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 Willie Coleman's NPI number?

The NPI number for Willie Coleman is 1699799932. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Willie Coleman located?

Willie Coleman practices at 481 Gold Star Hwy Suite 301, Groton, CT 06340. The listed phone number is (860) 405-0490.

What is Willie Coleman's specialty?

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

Is Willie Coleman enrolled in Medicare?

Yes. Willie Coleman 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 Willie Coleman accept?

Health plans from Providence Health Plan list Willie Coleman 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 Willie Coleman was last updated on April 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.