WILSON PSYCHOLOGICAL SERVICES PLLC NPI 1528558574

NPI Information

NPI: 1528558574
Provider Name: WILSON PSYCHOLOGICAL SERVICES PLLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5001 PLAINFIELD AVE NE STE B
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 600-1667
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WILSON PSYCHOLOGICAL SERVICES PLLC is a mental health counselor in Grand Rapids, MI. WILSON PSYCHOLOGICAL SERVICES PLLC NPI is 1528558574. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5001 PLAINFIELD AVE NE STE B
GRAND RAPIDS, MI
ZIP 49525-050
Phone: (616) 600-1667
Fax: (616) 805-3613

The provider's authorized official is Jamie Wilson .
The authorized official title is President / Therapist and has the following contact phone number (616) 600-1667.

The enumeration date for this NPI number is 5/15/2018 and was last updated on 10/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103T00000X	Psychologist		No
2	103TB0200X	Psychologist	Cognitive & Behavioral	No
3	103TC1900X	Psychologist	Counseling	No
4	101YM0800X	Counselor	Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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