MS. PATRICIA C. WILSON (NPI# 1912158890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912158890 |
| Entity Type | Individual |
| Full Name | MS. PATRICIA C. WILSON |
| Credential | M.A., CCC-A |
| Practice Address |
22250 Providence Dr Suite 301 Southfield MI 48075-4825 |
| Practice Telephone | 2485695985 |
| Practice Fax Number | 2485693704 |
| Mailing Telephone | 2485695985 |
| Mailing Fax Number | 2485693704 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 1601000421 | MI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE | 1601000421 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033755681 | Patricia Diane Marie Wilson | Registered Nurse | 5496 Mountain View Ave, Riverside, CA 92504-1254 | 2019-11-19 |
| 1982129995 | Patricia Wilson | Home Health Aide | 3808 Saddleback Dr, Dallas, TX 75227-5262 | 2017-08-10 |
| 1619348596 | Patricia Wilson | Community/Behavioral Health | 22980 Lynx Ct, Sorrento, FL 32776-9330 | 2015-10-17 |
| 1508232604 | Patricia Ann Wilson | Specialist/Technologist, Other | 1019 Sagewood Pl, Pocatello, ID 83201-2729 | 2015-08-12 |
| 1750634119 | Patricia Lynn Wilson | Counselor | 109 Holiday Ct Ste A2, Franklin, TN 37067-3046 | 2012-10-23 |
| 1811249642 | Patricia Mae Wilson | Social Worker | 9421 1/2 W Olympic Blvd, Beverly Hills, CA 90212-4511 | 2012-10-03 |
| 1043593742 | Patricia Ann Wilson | Marriage & Family Therapist | 877 Island Ave, 207, San Diego, CA 92101-7116 | 2011-09-20 |
| 1780982678 | Patricia Shanahan Wilson | Speech-Language Pathologist | 4931 Old Dominion Dr, Arlington, VA 22207-2833 | 2011-03-02 |
| 1932366010 | Patricia H. Wilson | Developmental Therapist | 2117 Mound Ave, Panama City, FL 32405-1442 | 2008-05-17 |
| 1013187103 | Patricia Ann Wilson | Counselor | 2316 Armory Dr, Murfreesboro, TN 37129-6930 | 2008-03-05 |
| Street Address |
22250 PROVIDENCE DR SUITE 301 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710981071 | Anthony Edward Boutt | Obstetrics & Gynecology | 22250 Providence Dr, 408, Southfield, MI 48075-4825 | 2005-06-02 |
| 1871110015 | Abbas Chehab | Internal Medicine | 22250 Providence Dr, Southfield, MI 48075-4825 | 2020-07-04 |
| 1013531854 | Anicia Mirchandani | Radiology | 22250 Providence Dr, Southfield, MI 48075-4825 | 2020-06-06 |
| 1285258442 | Kidist Tamirat Arficho | Student in an Organized Health Care Education/Training Program | 22250 Providence Dr, Southfield, MI 48075-4825 | 2020-06-03 |
| 1386268035 | Denas Andrijauskis | Surgery | 22250 Providence Dr, Southfield, MI 48075-4825 | 2020-05-28 |
| 1669030748 | Cyrus Garmo | Student in an Organized Health Care Education/Training Program | 22250 Providence Dr, Southfield, MI 48075-4825 | 2019-06-03 |
| 1922661297 | Ammar Hassen Alsalahi | Student in an Organized Health Care Education/Training Program | 22250 Providence Dr, Suite #601, Southfield, MI 48075-4814 | 2019-04-22 |
| 1265963797 | Cameron Whitler | Internal Medicine | 22250 Providence Dr, Suite 705, Southfield, MI 48075-4818 | 2017-03-26 |
| 1144671082 | Jessica Anne Hudson | Family Medicine | 22250 Providence Dr, Ste. 500, Southfield, MI 48075-4825 | 2016-06-22 |
| 1689024960 | Yessar Takruri | Internal Medicine | 22250 Providence Dr, Southfield, MI 48075-4825 | 2016-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588114961 | Lisa Marie Simon | Audiologist | 29201 Telegraph Road, Suite 500, Southfield, MI 48034 | 2016-10-10 |
| 1720484405 | Mellissa Marie Pozios | Audiologist | 29201 Telegraph Rd St 500, Southfield, MI 48034 | 2014-11-07 |
| 1366846552 | Leigh Harless | Audiologist | 2000 Town Center, Ste 1900, Primesource of Michigan LLC, Southfield, MI 48075-1135 | 2014-10-16 |
| 1528359072 | Migheon A Bey | Audiologist | 20100 Winchester St, Southfield, MI 48076-4935 | 2011-05-02 |
| 1699005629 | Roya Daryaee | Audiologist | 27117 Lahser Road, Suite 203, Southfield, MI 48034-8416 | 2010-01-14 |
| 1215105598 | Gail Joan Stoddart | Audiologist | 29201 Telegraph Rd Ste 500, Southfield, MI 48034-7648 | 2008-02-20 |
| 1023077518 | Tamy S Chelst | Audiologist | 22536 N Bellwood Dr, Southfield, MI 48034-2115 | 2006-03-22 |
| 1184284770 | Alexandra Matta | Audiologist | 29201 Telegraph Rd Ste 500, Southfield, MI 48034-7648 | 2019-06-17 |
| 1467937862 | Mms Audiology LLC | Audiologist | 24293 Telegraph Rd Ste 212, Southfield, MI 48033-7903 | 2018-10-02 |
| 1295242824 | Providence-providence Park Hospital | Audiologist | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2018-01-04 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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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.