DR. KAREN I WILSON


Address: 11340 W Olympic Blvd., Suite-250, Los Angeles, CA 90064
Phone: 3108764294

DR. KAREN I WILSON (NPI# 1245470012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245470012
Entity Type Individual
Full Name DR. KAREN I WILSON
Other Name DR. KAREN I MASON
Credential PH.D.
Practice Address 11340 W Olympic Blvd.
Suite-250
Los Angeles
CA 90064
Mailing Address 11340 W Olympic Blvd
Suite-250
Los Angeles
CA 90064-1608
Practice Telephone 3108764294
Practice Fax Number 3109432690
Mailing Telephone 3108764294
Mailing Fax Number 3109432690
Enumeration Date 2009-03-05
Last Update Date 2013-07-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist PSY18249 CA Behavioral Health & Social Service Providers

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1225654726 Karen Y Wilson Student in an Organized Health Care Education/Training Program The University of Tennessee Health Science Center, 920 Madison Ave., Memphis, TN 38163-4774 2020-06-19
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1659661759 Karen Kaye Wilson Occupational Therapy Assistant 2422 Cheyenne Ave, Pueblo, CO 81003-1433 2011-04-11
1760704423 Karen A Wilson Speech-Language Pathologist 1782 Curry Ave, Deltona, FL 32738-4180 2010-02-23
1629205950 Karen B Wilson Dentist 246 Canyon Lakes Pl, 246 Canyon Lakes Place, San Ramon, CA 94582-4917 2009-06-12
1992912661 Karen Wilson Specialist 2003 Merlin Ave, Somerset, KY 42503-2520 2007-05-16
1427264100 Karen Perry Wilson Counselor 400 Washington St Ste 303, Braintree, MA 02184-4768 2007-05-16
1295959930 Karen Kahn Wilson Psychologist 15 Danbury Ave, Westport, CT 06880-6820 2007-04-12
1578679015 Karen Camille Wilson Dentist 3605 Center Point Rd Ne, Cedar Rapids, IA 52402-5571 2006-08-21

Office Location

Street Address 11340 W OLYMPIC BLVD.
SUITE-250
City LOS ANGELES
State CA
Zip Code 90064

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134727597 Barbara K. Polland Marriage & Family Therapist 10533 Rountree Rd., Los Angeles, CA 90064 2020-10-16
1912542994 Reproductive Medicine Associates of Socal Ambulatory Surgery Center Clinic/Center 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 2019-11-13
1376022012 Payersdirect, Inc. Radiology 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 2018-08-13
1013404136 Jeannie Wakamatsu Dietitian, Registered 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 2018-04-13
1487153474 Victor Louie Behavior Technician 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 2018-02-06
1538683842 Ana Grinfeld Behavioral Analyst 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 2017-07-28
1407386089 Ovsanna Stepanyan Rehabilitation Practitioner 11080 W Olimpic Blvd, La, CA 90064 2017-06-15
1952768012 Grace Gayles Behavioral Analyst 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 2016-01-20
1669841003 Jessica Hildebrandt Occupational Therapy Assistant 2446 S Westgate Ave, Los Angeles, CA 90064 2015-09-16
1033592571 Joshua Busse Family Medicine 11845 Olympic Boulevard, Los Angeles, CA 90064 2015-07-01
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366061707 Talia Rose Seider Clinical Neuropsychologist 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 2020-04-15
1699394270 Colin Jarred Gallagher Clinical Neuropsychologist 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 2020-04-13
1528541554 Marlene Garza Clinical Neuropsychologist 7381 La Tijera Blvd Unit 45312, Los Angeles, CA 90045-7017 2018-09-14
1922503739 Douglas Polster Clinical Neuropsychologist 300 Stein Plaza Driveway, Los Angeles, CA 90095-0001 2018-03-26
1356875496 Vindia G Fernandez Clinical Neuropsychologist 760 Westwood Plz # 47-429a, Los Angeles, CA 90095-8353 2017-04-15
1528500428 Shou-chin Christine You Clinical Neuropsychologist Mpac Ucla Semel Institute, 760 Westwood Plaza, C8-852, Los Angeles, CA 90095-1759 2016-11-08
1053766139 Larry C Bernard Clinical Neuropsychologist 8560 W Sunset Blvd, Suite 500, Los Angeles, CA 90069-2311 2016-04-26
1164807954 Stacey M. Bayan Clinical Neuropsychologist 11835 W Olympic Blvd., Ste 1265e, Los Angeles, CA 90064-5814 2015-07-22
1346630944 Sloane Miller Clinical Neuropsychologist 1033 Gayley Ave Ste 208, Los Angeles, CA 90024-3426 2015-02-03
1932458155 Nora Goudsmit Clinical Neuropsychologist 640 S San Vicente Blvd Ste 476, Los Angeles, CA 90048-4661 2012-09-04
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90064

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Dataset Information

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.

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