DR. TIMOTHY WILSON (NPI# 1679981302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679981302 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY WILSON |
| Credential | PSY.D. |
| Practice Address |
5351 Delmar Blvd Saint Louis MO 63112-3146 |
| Practice Telephone | 3142770759 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
2012039133 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619173549 | Timothy Allen Wilson | Family Medicine | 9712 E 66th Ter, Raytown, MO 64133-5848 | 2007-06-26 |
| 1720186257 | Timothy Wilson | Dentist | 6868 E Becker Ln, Suite 101, Scottsdale, AZ 85254-6708 | 2006-09-20 |
| 1013946615 | Timothy Jon Wilson | Optometrist | 2413 Wards Rd, Lynchburg, VA 24502-2103 | 2006-07-03 |
| 1417984139 | Timothy P Wilson | Family Medicine | 115b S Illinois Ave, Oak Ridge, TN 37830-6202 | 2006-06-27 |
| 1174588362 | Timothy C Wilson | Orthopaedic Surgery | 1760 Nicholasville Rd Ste 101, Lexington, KY 40503-1410 | 2006-04-19 |
| 1942269253 | Timothy M. Wilson | Anesthesiology | 129 N. Washington St., Sumter, SC 29150 | 2006-03-23 |
| 1487613402 | Timothy R Wilson | Family Medicine | 300 71st Street, Suite 620, Miami Beach, FL 33141-3089 | 2006-03-20 |
| 1194370965 | Timothy J Wilson Jr. | Counselor | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2019-08-07 |
| 1457871006 | Timothy Andrew Wilson | Emergency Medicine | 1 Childrens Pl, Dept Emergency Medicine, Saint Louis, MO 63110-1002 | 2017-06-25 |
| 1407393358 | Timothy Wilson | Case Manager/Care Coordinator | 2624 9th Ave S, Fargo, ND 58103-2350 | 2017-01-30 |
| Street Address |
5351 DELMAR BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63112-3146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073567491 | State of Missouri | Social Worker | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2006-05-20 |
| 1093122152 | Melanie Nichols | Psychologist | 5351 Delmar Blvd, Metropolitan St Louis Psychiatric Center, Saint Louis, MO 63112-3146 | 2014-07-21 |
| 1861727703 | Leanne Kathleen Buttice | Social Worker | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2009-10-09 |
| 1760646137 | Bridget Ann Graham-royer | Psychologist | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2008-07-15 |
| 1730365750 | Tracey Ann Williams | Occupational Therapist | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2008-01-21 |
| 1790986115 | Sundeep Jayaprabhu | Psychiatry & Neurology | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2007-05-31 |
| 1376752667 | Karen Renee Struckhoff | Pharmacist | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2007-05-22 |
| 1548479249 | Armon R Crawford | Pharmacist | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2007-05-21 |
| 1154530822 | Meike Leigh Newell | Pharmacist | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2007-05-21 |
| 1255540068 | Robert Henry Kozlowski | Pharmacist | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932990 | Bobbie J. Harrington | Technician | 5626 Julian Avenue, St. Louis, MO 63112 | 2019-09-30 |
| 1861901480 | Christina Cummings | Counselor | 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 | 2017-09-26 |
| 1326457177 | Clare Marie Salley | Speech-Language Pathologist | 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 | 2014-08-06 |
| 1386999324 | Family Love Adult Health Care Center, LLC | Clinic/Center | 286 Debaliviere Avenue, St. Louis, MO 63112 | 2012-07-16 |
| 1003133893 | William Richard Humphrey II | Chiropractor | 5615 Pershing, Suite 22, St. Louis, MO 63112 | 2010-05-03 |
| 1558688408 | Courtney Lynne Luster | Counselor | 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 | 2010-04-30 |
| 1134446602 | Donald Trevor Cross | Psychologist | #7 Beverly Place, St. Louis, MO 63112 | 2010-04-23 |
| 1649507328 | Vikram Choudhary | Prosthetist | 6126 Washington Blvd, # 201, St. Louis, MO 63112 | 2009-11-17 |
| 1992930325 | Kelly Brook Hogan | Social Worker | 5355 Delmar, Saint Louis, MO 63112 | 2009-05-29 |
| 1942449194 | Annie Malone Children and Family Service Center | Respite Care | 5355 Page Avenue, St. Louis, MO 63112 | 2009-02-11 |
| Find all providers in zip 63112 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932342409 | Kare & Therapy, Inc. | Psychologist | 680 Craig Rd, St. Louis, MO 63141-7120 | 2009-04-14 |
| 1194864140 | Stephen Wesley Becker | Psychologist | 424 Main St, Hillsboro, MO 63050 | 2007-02-06 |
| 1922168541 | Stephen Vincent Courtois | Psychologist | 1010 W Columbia St, Farmington, MO 63640-2902 | 2006-12-12 |
| 1699834002 | Byron Clayborne English | Psychologist | 1010 W Columbia St, Farmington, MO 63640-2902 | 2006-12-08 |
| 1326107236 | Tina Marie Drury | Psychologist | 3 Hospital Dr, Columbia, MO 65201-5276 | 2006-12-06 |
| City | SAINT LOUIS |
| Zip Code | 63112 |
Please comment or provide details below to improve the information on DR. TIMOTHY 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.