DR. DIANE LYN WILSON (NPI# 1528081015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528081015 |
| Entity Type | Individual |
| Full Name | DR. DIANE LYN WILSON |
| Credential | MD |
| Practice Address |
570 Asbury St Suite 106b Saint Paul MN 55104-1849 |
| Practice Telephone | 6128024704 |
| Mailing Telephone | 6128024704 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
23684 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERRED ONE PIN | 1011752 | 01 |
| MN | HEALTHPARTNERS PIN | 3568 | 01 |
| MN | BC PROVIDER # | 29795WI | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184141632 | Diane M. Wilson | Counselor | 205 School St. #202, Gardner, MA 01440 | 2017-08-25 |
| 1013219708 | Diane Wilson | Occupational Therapy Assistant | 15 Palmer Ct, Maybrook, NY 12543-1126 | 2010-12-01 |
| 1821229188 | Diane Grimard Wilson | Counselor | 333 W Wacker Dr Ste 500, Chicago, IL 60606-1225 | 2009-08-05 |
| 1821295049 | Diane Alice Wilson | Mechanotherapist | 307 N Pineview St, Stanberry, MO 64489-1509 | 2007-06-29 |
| 1285731711 | Diane Orsak Wilson | Nurse Practitioner | 508 Desert Lakes Rd., Alamogordo, NM 88310 | 2006-09-19 |
| 1013013259 | Diane H. Wilson | Counselor | 9212 Fairlane Pl, Laurel, MD 20708-2860 | 2006-09-15 |
| 1013932185 | Diane Eh Wilson | Family Medicine | 1937 W 5700 S, Roy, UT 84067-2303 | 2006-07-12 |
| 1841236635 | Diane G Wilson | Optometrist | 1235 Water Tower Pl, Arnold, MO 63010-2142 | 2006-06-21 |
| 1619969805 | Diane D Wilson | Nurse Anesthetist, Certified Registered | 3000 Herring Ave, Waco, TX 76708-3239 | 2005-08-16 |
| 1578124996 | Diane Marie Wilson | Counselor | 225 Margaret Ave Ste 3, Jeannette, PA 15644-3081 | 2019-06-26 |
| Street Address |
570 ASBURY ST SUITE 106B |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104898642 | Kathleen M Pfaffinger | Psychologist | 570 Asbury St, Suite 103, Saint Paul, MN 55104-1849 | 2006-02-07 |
| 1578008900 | U.S. Healthworks Medical Group of Minnesota, PC | Physical Therapist | 570 Asbury St, Suite 101, Saint Paul, MN 55104-1849 | 2016-12-20 |
| 1124577614 | Malea Stoesz | Counselor | 570 Asbury St, Suite 300, Saint Paul, MN 55104-1849 | 2016-09-26 |
| 1730635277 | Pheng Thao | Counselor | 570 Asbury St, Suite 300, Saint Paul, MN 55104-1849 | 2016-08-25 |
| 1952856627 | Melissa Schoeberl | Counselor | 570 Asbury St, Suite 300, Saint Paul, MN 55104-1849 | 2016-08-23 |
| 1699220418 | Shelby Marx | Counselor | 570 Asbury St, Suite 300, Saint Paul, MN 55104-1849 | 2016-08-22 |
| 1407211154 | Shannon Pollreis-gottschalk | Counselor | 570 Asbury St, Suite 300, Saint Paul, MN 55104-1849 | 2015-12-23 |
| 1134528557 | Practical Therapy LLC | Community/Behavioral Health | 570 Asbury St, Suite 206, Saint Paul, MN 55104-1849 | 2014-08-21 |
| 1407292386 | W.b.garrett Consulting LLC | Community/Behavioral Health | 570 Asbury St, 304-a, Saint Paul, MN 55104-1849 | 2013-05-17 |
| 1013215136 | Stephen M. Hjemboe, Ph.d., LLC | Psychologist | 570 Asbury St, Suite 208, Saint Paul, MN 55104-1849 | 2011-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114189123 | Aviel Goodman | Psychiatry & Neurology | 1347 Summit Ave, Saint Paul, MN 55105-2219 | 2008-06-30 |
| 1649462185 | Toni Rae Magnuson | Psychiatry & Neurology | 325 Cedar St Ste 803, Saint Paul, MN 55101-1012 | 2007-08-17 |
| 1528288552 | Steven C Miller | Psychiatry & Neurology | 280 Smith Ave N Ste 450, Saint Paul, MN 55102-2481 | 2007-05-01 |
| 1003907155 | Walter Kenneth Rush Iv | Psychiatry & Neurology | 275 4th St E, Saint Paul, MN 55101-1696 | 2006-09-27 |
| 1811903842 | Gregg A Horras | Psychiatry & Neurology | 360 Sherman St Ste 100, Saint Paul, MN 55102-2425 | 2006-07-31 |
| 1871566331 | Thomas G Gratzer | Psychiatry & Neurology | 2550 University Ave W Ste 229n, Saint Paul, MN 55114-1902 | 2006-02-07 |
| 1518952274 | John M Kuzma | Psychiatry & Neurology | 640 Jakcson St, Saint Paul, MN 55101 | 2005-09-19 |
| 1407201742 | Thomas Lyle Fewer | Psychiatry & Neurology | 640 Jackson St, Saint Paul, MN 55101-2502 | 2016-04-24 |
| 1124482807 | Michael Shane Farrell | Psychiatry & Neurology | 280 Smith Ave N Ste 450, Saint Paul, MN 55102-2481 | 2016-04-08 |
| 1174943823 | Lindsay Merriman | Psychiatry & Neurology | 280 Smith Ave N Ste 450, Saint Paul, MN 55102 | 2014-04-21 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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| 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.