Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Wesley Demarius Willis, PSY.D, LCSW-R, RN

Clinical Social Worker in New York, NY · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629299664

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Dr. Wesley Demarius Willis

Credential PSY.D, LCSW-R, RN

Sex Male

Practice address 1740 Broadway Fl 15, New York, NY, 10019

Phone (347) 502-0965

Fax (917) 725-8319

Enumeration date May 1, 2007

Last updated in NPPES Apr 3, 2024

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 076729 (NY) Primary

163W00000X Registered Nurse Nursing Service Providers · License 650621 (NY) Secondary

PSYD · Doctor of Psychology: A clinical doctorate in psychology focused on professional practice. About the PSYD credential

Other identifiers

Identifier	Type	State	Issuer
03152545	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Wesley Willis's NPI record?

Cross-check NPI 1629299664 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1629299664 active?

Yes, as of the latest NPPES snapshot, NPI 1629299664 is active (record last updated 2024-04-03).

Other providers at this practice address

Browse all →

Rhaysa Saint-Hilaire Clinical Social Worker · New York, NY NPI 1215438478 Centerbrite Inc. Behavior Analyst · New York, NY NPI 1780331728 Blue Fox Transportation LLC Non-emergency Medical Transport (VAN) · New York, NY NPI 1609506831 Rosie Love Social Worker · New York, NY NPI 1538928999

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-03.