DARREL L WILSON P.C. (NPI# 1942507140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942507140 |
| Entity Type | Organization |
| Organization Name | DARREL L WILSON P.C. |
| Practice Address |
135 N Pauline St Fl 4-5 Memphis TN 38105-4619 |
| Mailing Address |
7948 Winchester Rd Ste 109 Pmb 135 Memphis TN 38125-2310 |
| Practice Telephone | 9018306990 |
| Practice Fax Number | 9016245044 |
| Mailing Telephone | 9018306990 |
| Mailing Fax Number | 9016245044 |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |
| Authorized Official Name | DR. DARREL LENARD WILSON (PRESIDENT) |
| Authorized Official Telephone | 9018306990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
135 N PAULINE ST FL 4-5 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
| Find all providers in zip 38105 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003104316 | Lalitha Vaddadi, P.C. | Psychiatry & Neurology | 3265 Point Hill Cv, Memphis, TN 38125-8890 | 2011-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689145880 | Recharge Recovery Center | Psychiatry & Neurology | 437 Nissan Dr Ste 502, Smyrna, TN 37167-4311 | 2018-12-16 |
| 1154471035 | Michael Alan Patterson | Psychiatry & Neurology | 3189 Kirby Whitten Rd Ste 105, Bartlett, TN 38134-2855 | 2007-01-11 |
| 1386653178 | Sean Arthur Barlow | Psychiatry & Neurology | 208 E. Unaka Avenue, Johnson City, TN 37601 | 2006-08-08 |
| 1508330382 | Hope Alive Centers Pllc | Psychiatry & Neurology | 1205 S Graycroft Ave, Madison, TN 37115-5130 | 2019-01-15 |
| 1871018879 | Hopewell Alcohol & Drug Abuse Counseling, LLC | Psychiatry & Neurology | 308 Knox Rd, Knoxville, TN 37918-2316 | 2017-08-10 |
| 1043496524 | Howard L Burley Jr. | Psychiatry & Neurology | 8283 River Road Pike, Nashville, TN 37209-6018 | 2008-01-15 |
| 1609805977 | Daniel Kan | Psychiatry & Neurology | 1720 E Reelfoot Ave, Suite 101 A, Union City, TN 38261-6047 | 2006-06-30 |
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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.