MS. PHYLLIS A. WILSON (NPI# 1124378450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124378450 |
| Entity Type | Individual |
| Full Name | MS. PHYLLIS A. WILSON |
| Credential | MS |
| Practice Address |
1249 Eagle Way Virginia Beach VA 23456 |
| Practice Telephone | 7574712714 |
| Mailing Telephone | 7574712714 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
0813000386 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396693 | Phyllis Newsome Wilson | Technician | 8423 Empress Ct, Charlotte, NC 28227 | 2019-09-27 |
| 1346452109 | Phyllis Wilson | Specialist | 160 Wilson Dr, Somerset, KY 42503-4595 | 2007-05-04 |
| 1861411316 | Phyllis T Wilson | Marriage & Family Therapist | 2650 Jones Way Ste 21, Simi Valley, CA 93065-1226 | 2006-07-18 |
| 1699801142 | Phyllis Mack Wilson | Physician Assistant | 1604 Medical Dr, Laurinburg, NC 28352-5524 | 2007-02-26 |
| Street Address |
1249 EAGLE WAY |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336679349 | Joelene Grandy | Contractor | 1892 Riverrock Arch, Virginia Beach, VA 23456 | 2017-06-13 |
| 1023568995 | Red Mill Pediatric Dentistry and Behl Orthodontics Pllc | Dentist | 2033 Fisher Arch, Ste 100, Virginia Beach, VA 23456 | 2016-10-04 |
| 1609235803 | Maria Teresa Olivas | Registered Nurse | 3212 Fluuanna Circle, Virginia Beach, VA 23456 | 2016-02-16 |
| 1326434747 | Catharine White Cartwright | Physician Assistant | 2501 James Madison Blvd, Virginia Beach, VA 23456 | 2015-04-13 |
| 1598153785 | Harris Teeter LLC | Pharmacy | 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 | 2014-12-23 |
| 1881034023 | Kimberly Ann Benson | Dentist | 2105 Princess Anne Road, Suite 108, Virginia Beach, VA 23456 | 2013-07-02 |
| 1033477807 | Wolfgang J. Bay | Dentist | 1625 Salem Road #101, Virginia Beach, VA 23456 | 2012-04-30 |
| 1881974475 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2232 General Booth Blvd, Virginia Beach, VA 23456 | 2011-08-26 |
| 1780988857 | Casey Snyder | Dentist | 2484 North Landing Road, Virginia Beach, VA 23456 | 2011-01-05 |
| 1922311463 | Saulo S. Ortiz | Social Worker | 2329 Edmenton Drive, Virginia Beach, VA 23456 | 2010-07-26 |
| Find all providers in zip 23456 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538077 | Brittany Lee Gill | Psychologist | 3005 Clarke Dr, Virginia Beach, VA 23456-7919 | 2019-09-30 |
| 1700340874 | Joan Tiberi | Psychologist | 3524 Silina Dr, Virginia Beach, VA 23452-4128 | 2019-01-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1699269910 | Megan Francis | Psychologist | 2512 George Mason Dr, Virginia Beach, VA 23456-9105 | 2018-06-20 |
| 1053815373 | Sarah Carstens | Psychologist | 920 Princess Anne Rd, Virginia Beach, VA 23457-1438 | 2018-03-21 |
| 1841792330 | Jennifer Grace Ward | Psychologist | 570 Kempsville Rd, Virginia Beach, VA 23464-2702 | 2018-03-01 |
| 1023519964 | Franklin H Phillips Jr. | Psychologist | 4680 Berrywood Rd, Virginia Beach, VA 23464-5860 | 2018-02-26 |
| 1518468792 | Brooke Dewitt | Psychologist | 641 Carriage Hill Rd, Virginia Beach, VA 23452-6518 | 2018-02-23 |
| 1730653486 | Melanie Jo Karsanac | Psychologist | 1257 Rosemont Rd, Virginia Beach, VA 23453-2119 | 2019-01-16 |
| 1962973958 | Elizabeth A Herman | Psychologist | 641 Carriage Hill Rd, Virginia Beach, VA 23452-6518 | 2018-12-17 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23456 |
Please comment or provide details below to improve the information on MS. PHYLLIS A. WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.