1. Home
  2. Directory
  3. Illinois
  4. Bloomington
  5. Psychologist
  6. NPI Profile

DR. PAUL D WILLETT PH.D.
NPI 1710199948
Psychologist - Clinical in Bloomington, IL

Active since May 03, 2007
1015 S MERCER AVE, BLOOMINGTON, IL 61701(309) 706-3190(309) 452-9028 Get Directions Write a Review

NPPES record last updated: August 7, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Paul D Willett Ph.d. NPPES

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

DR. PAUL D WILLETT PH.D. (NPI 1710199948) is an individual clinical provider in Bloomington, Illinois, licensed in Illinois (071.007268) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1710199948
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. PAUL D WILLETTCredential: PH.D.
Location Address1015 S MERCER AVEBloomington, IL 61701-7107
Mailing AddressPo Box 604Bloomington, IL 61702-0604 · (309) 706-3190 · Fax (309) 452-9028
Phone(309) 706-3190
Fax(309) 452-9028
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 7, 2009
✔ NPI 1710199948 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 IL · 071.007268
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.
1015 S MERCER AVE, Bloomington, IL 61701
Open in Google Maps ↗

Other Identifiers 3

Other05732025IL · Blue Cross Blue Shield
OtherK39590IL · Medicare
Other117151IL · Health Alliance

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.

BETHANY JACKSON
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 663-0488
KAITLIN ROTHOLTZ
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (844) 263-1613
MORGAN RIEBE
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (844) 263-1613
MAKAYLEE JOHNSON
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (866) 727-8274
DONNY BOUNDS RN
Registered Nurse
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 662-4321
MS. RACHEL A GAWTHORP RN
Registered Nurse
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 662-0088
HANNAH KEUN
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (844) 263-1613
SENA NTUMY
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 663-0488

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 Paul Willett's NPI number?

The NPI number for Paul Willett is 1710199948. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Paul Willett located?

Paul Willett practices at 1015 S Mercer Ave, Bloomington, IL 61701. The listed phone number is (309) 706-3190.

What is Paul Willett'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 Paul Willett was last updated on August 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.