MICHAEL D WILSON (NPI# 1629130067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629130067 |
| Entity Type | Individual |
| Full Name | MICHAEL D WILSON |
| Credential | MA,MDIV,CEAP,LPC |
| Practice Address |
3 Alexandra Ln Long Valley NJ 07853-3458 |
| Practice Telephone | 9088765693 |
| Mailing Telephone | 9088765693 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
37PC00053700 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203537 | Michael John Wilson | Clinical Neuropsychologist | 9301 Madison St Rm 369, Crown Point, IN 46307-7745 | 2019-06-11 |
| 1982268017 | Michael Donavan Wilson | Counselor | 200 North Lewis, Waukegan, IL 60087 | 2019-04-24 |
| 1891201604 | Michael Paul Wilson | Technician/Technologist | 324 Garden Rd, Springfield, PA 19064-3505 | 2017-12-18 |
| 1659897536 | Michael Wilson | Driver | 1628 Bucktown Dr, Danville, VA 24543 | 2017-08-22 |
| 1386096501 | Michael Wilson | Home Health | 596 North Hawkins Ave, Akron, OH 44313 | 2016-07-12 |
| 1164895728 | Michael Wilson | Counselor | 3027 Pleasant Grv, Bossier City, LA 71111-5758 | 2015-11-04 |
| 1013384379 | Michael Wilson | Counselor | 7110 Sw Fir Loop Ste 220, Tigard, OR 97223 | 2015-08-21 |
| 1467828350 | Michael Wilson | Social Worker | 30500 Southfield Road Apt. 200, Michael Wilson, Southfield, MI 48076 | 2015-08-14 |
| 1356723803 | Michael Wilson II | Home Health Aide | 348 Wilson Ave, Port Clinton, OH 43452-1740 | 2015-06-22 |
| 1467641399 | Michael C. Wilson | Developmental Therapist | 820 E 38th Pl Unit 1, Chicago, IL 60653-1969 | 2007-10-16 |
| Street Address |
3 ALEXANDRA LN |
| City | LONG VALLEY |
| State | NJ |
| Zip Code | 07853-3458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225543887 | Special Homes of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 39a Old Turnpike Road, Long Valley, NJ 07853 | 2017-12-05 |
| 1407215536 | Leah Nagorsky | Physician Assistant | 3 Emily Pl, Long Valley, NJ 07853 | 2016-02-17 |
| 1982041125 | Sharon Defusco | Speech-Language Pathologist | 17 Beechnut Drive, Long Valley, NJ 07853 | 2013-05-29 |
| 1134494925 | Long Valley First Aid Squad | Ambulance | 70 East Mill Rd, Long Valley, NJ 07853 | 2012-03-13 |
| 1639294507 | Goodkin & Pilek Family Dentistry, LLC | Dentist | 59 E. Mill Rd, Suite 2-2034, Long Valley, NJ 07853 | 2007-03-20 |
| 1619044674 | Deborah Waddell | Acupuncturist | 59 East Mill Rd, Suite 2 209, Long Valley, NJ 07853 | 2006-11-28 |
| 1790854065 | Mary Anne Giuseppe | Dentist | 2 Mountain View Avenue, Long Valley, NJ 07853 | 2006-11-08 |
| 1023124351 | Robert A Mason | Dentist | 104 Parker Rd, Long Valley, NJ 07853 | 2006-08-21 |
| 1174502363 | Jacqueline M Roskie | Social Worker | 59 East Mill Road, Bldg 2 Suite 2 - 202, Long Valley, NJ 07853 | 2006-01-16 |
| 1144399411 | Elizabeth Nancy Odinez Bortfeld | Dentist | 2 Mountain View Ave, Long Valley, NJ 07853 | 2006-11-08 |
| Find all providers in zip 07853 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427826 | Tara Colleen Mahoney | Counselor | 158 Flocktown Rd, Long Valley, NJ 07853-3545 | 2020-05-01 |
| 1023648862 | Linda Schuler | Counselor | 59 E Mill Rd Ste 3-201, Long Valley, NJ 07853-6215 | 2020-01-21 |
| 1346763539 | Annabella Seabra Sollaccio | Counselor | 59 E Mill Rd Unit 201, Long Valley, NJ 07853-6222 | 2017-07-20 |
| 1467973065 | Katherine Gabriella Jambor Hier | Counselor | 21 Pheasant Dr, Long Valley, NJ 07853-3561 | 2017-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568203 | Shannon Smith | Counselor | 99 Huckleberry Ct, Three Bridges, NJ 08887-2109 | 2020-11-08 |
| 1720689516 | Janice Belarmino | Counselor | 22 5th Ave, Avenel, NJ 07001 | 2020-11-06 |
| 1457951048 | James Peter Gallagher | Counselor | 3005 Vroom Dr, Bridgewater, NJ 08807-7037 | 2020-11-01 |
| 1669072542 | Lauren Marie Didonato | Counselor | 1533 Hillside Dr, Cherry Hill, NJ 08003-3536 | 2020-10-29 |
| 1699375840 | Letitia Schuman | Counselor | 217 N Locust Ave, Marlton, NJ 08053-1787 | 2020-10-27 |
| 1629677703 | Shoshana Yaffa Hochstadter | Counselor | 123 Edgewood Ave, Clifton, NJ 07012-1514 | 2020-10-20 |
| 1992304356 | Virginia Haase | Counselor | 777 Grove Ave, Edison, NJ 08820-2770 | 2020-10-18 |
| 1205434214 | Margaret Sunny Sullivan-fullerton | Counselor | 63 Rockwood Dr, Rockaway, NJ 07866-4152 | 2020-10-12 |
| 1699373860 | William Defilippo | Counselor | 22 Andrea Dr, North Caldwell, NJ 07006-4727 | 2020-10-11 |
| 1093313389 | Gina Kuijlaars | Counselor | 1390 Valley Rd Ste 2c, Stirling, NJ 07980-1346 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
| City | LONG VALLEY |
| Zip Code | 07853 |
Please comment or provide details below to improve the information on MICHAEL D 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.