Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Alexander Perry Willett, PSYD

Individual provider Clinical Psychologist · NPI 1710493770

Dr. Alexander Perry Willett, PSYD is a Clinical Psychologist in Bloomington, Illinois. Qualified in 2016, 10 years ago. Practices with Edgewood Clinical Services PC, a 292-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

808 S Eldorado Rd Ste 102
Bloomington, IL 61704-6075
Phone: (309) 706-3190
Fax: (309) 588-4115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071009688 (IL)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 071009688 (IL)

Record details

NPI number1710493770
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedDecember 28, 2017
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Edgewood Clinical Services P.C. — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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