DR. DONALD LESTER WILSON JR. (NPI# 1154429348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154429348 |
| Entity Type | Individual |
| Full Name | DR. DONALD LESTER WILSON JR. |
| Credential | PHD |
| Practice Address |
2121 Lake Ave Va Nihcs Fort Wayne IN 46805-5100 |
| Mailing Address |
726 West Superior Street Fort Wayne IN 46802-1017 |
| Practice Telephone | 2604265431 |
| Practice Fax Number | 2604601481 |
| Mailing Telephone | 2606151173 |
| Mailing Fax Number | 2604601481 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
20041034A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366831695 | Donald Wilson | Taxi | 3712 Centinella Dr, North Highlands, CA 95660-3738 | 2015-01-09 |
| 1689912677 | Donald Edward Wilson | Internal Medicine | 20 Penn St, Baltimore, MD 21201-1075 | 2013-01-25 |
| 1275802357 | Donald Wilson Sr. | Psychologist | 403 S Polplar St, Searcy, AR 72143 | 2011-12-20 |
| 1356670137 | Donald Wendell Wilson | Neurological Surgery | 1599 Nw Sweetbay Circle, Palm City, FL 34990-8014 | 2009-12-08 |
| 1568525681 | Donald Kerry Wilson | Chiropractor | 639 Oak Avenue, Davis, CA 95616 | 2006-12-19 |
| 1306905229 | Donald Darrell Wilson | Dentist | 3385 Center St Ne, Salem, OR 97301-4609 | 2006-12-06 |
| 1588735419 | Donald Milton Wilson | Chiropractor | Washington Trust Building Main Street, 513 Washington Trust Building, Washington, PA 15301 | 2006-11-13 |
| 1174693014 | Donald Julius Wilson | Counselor | 37514 Hills Creek Rd, Springfield, OR 97478-8560 | 2006-11-08 |
| 1447368972 | Donald Lewis Wilson | Dentist | 7250 Redwood Blvd Ste 107, Novato, CA 94945-3269 | 2006-08-25 |
| 1437173416 | Donald C. Wilson | Dentist | 2235 Sw Westport Dr, Topeka, KS 66614-1945 | 2006-07-26 |
| Street Address |
2121 LAKE AVE VA NIHCS |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021100 | Karen F Sloane | Podiatrist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2005-05-24 |
| 1346848348 | Jodi Lyn Van Veld | Occupational Therapist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-10-12 |
| 1346854213 | Amy Solaro | Social Worker | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-09-08 |
| 1144831116 | Ann Marie Brunner | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-13 |
| 1871104042 | Lynne Koch | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-12 |
| 1790396950 | Joseph Amin Samy | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-12 |
| 1144831678 | Youlijan Samy | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-10 |
| 1881204139 | Lawrence Ejiofo | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-03 |
| 1821606575 | Nazret Tecle | Optometrist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-07-20 |
| 1689291619 | Adam Kreiger | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356776025 | Laura Michelle Oyer | Psychologist | 4150 Illinois Rd, Fort Wayne, IN 46804 | 2013-09-12 |
| 1992974620 | Indiana Professional Psychological Services, P.C. | Psychologist | 6408 Constitution Dr, Fort Wayne, IN 46804-1558 | 2008-02-27 |
| 1023221207 | Comprehensive Behavioral Services, LLC | Psychologist | 2809 E Dupont Rd, Fort Wayne, IN 46825-1668 | 2007-05-07 |
| 1689104929 | Erin Bowman, Phd, LLC | Psychologist | 9910 Dupont Circle Dr E Ste 140, Fort Wayne, IN 46825-1618 | 2017-06-19 |
| 1912356783 | Life Transitions Counseling Center, LLC | Psychologist | 4630 W Jefferson Blvd, #11a, Fort Wayne, IN 46804-6856 | 2016-06-12 |
| 1396080156 | T-med Services, Inc | Psychologist | 2510 E Dupont Rd, Suite 201, Fort Wayne, IN 46825-1601 | 2012-12-05 |
| 1427364520 | Hyun Ok Kim | Psychologist | 2410 N Glendale Dr Ste A, Fort Wayne, IN 46804 | 2010-08-26 |
| 1497076749 | David N Lombard, Ph.d, LLC | Psychologist | 3242 Mallard Cove Ln, Fort Wayne, IN 46804-2883 | 2010-06-21 |
| 1801067012 | Cornerstone Counseling & Consulting, P.c | Psychologist | 10315 Dawsons Creek Blvd, Suite F, Fort Wayne, IN 46825-1912 | 2008-03-14 |
| 1053488197 | Galen Arthur Yordy | Psychologist | 2805 Fairfield Ave, Fort Wayne, IN 46807-1218 | 2006-11-30 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on DR. DONALD LESTER WILSON JR..
| 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.