SAMANTHA L. WILSON (NPI# 1326290115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326290115 |
| Entity Type | Individual |
| Full Name | SAMANTHA L. WILSON |
| Credential | PH.D. |
| Practice Address |
13800 W North Ave Child Development Center Brookfield WI 53005-4977 |
| Practice Telephone | 2624326600 |
| Practice Fax Number | 2624326604 |
| Mailing Telephone | 2624326600 |
| Mailing Fax Number | 2624326604 |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2012-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2754 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1326290115 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013492701 | Samantha May Wilson | Nurse Practitioner | 24100 Chagrin Blvd Ste 430, Beachwood, OH 44122-5567 | 2018-09-27 |
| 1568983252 | Samantha La Wilson | Counselor | 28115 Se 451st St, Enumclaw, WA 98022-9204 | 2017-07-03 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1295170959 | Samantha Elizabeth Wilson | Massage Therapist | 2185 Northlake Pkwy Ste 100, Tucker, GA 30084-4100 | 2013-05-07 |
| 1508465212 | Samantha S Wilson | Social Worker | 37 W 26th St, New York, NY 10010-1006 | 2020-10-22 |
| 1174145866 | Samantha Joan Wilson | Behavior Technician | 302 Railway Ave., Seward, AK 99664 | 2020-05-15 |
| 1740839216 | Samantha Stone Wilson | Speech-Language Pathologist | 6239 S East St Ste A, Indianapolis, IN 46227-2088 | 2019-09-08 |
| 1326607896 | Samantha Wilson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-06-10 |
| 1164081915 | Samantha Wilson | Nurse Practitioner | 1133 21st St Nw Ste 200, Washington, DC 20036-3324 | 2019-06-06 |
| 1992282024 | Samantha Castillo Wilson | Physician Assistant | 2350 Limestone Pkwy, Gainesville, GA 30501-2013 | 2018-07-21 |
| Street Address |
13800 W NORTH AVE CHILD DEVELOPMENT CENTER |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-4977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407849011 | Affiliated Dermatologists Sc | Dermatology | 13800 W North Ave, Suite 100, Brookfield, WI 53005-4974 | 2005-08-30 |
| 1992145619 | Po Ann Cheah | Psychologist | 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 | 2013-06-26 |
| 1457797102 | Melanie J Yang | Speech-Language Pathologist | 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 | 2013-05-21 |
| 1558639203 | Sarah Rysdyk | Psychologist | 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 | 2011-12-08 |
| 1164721536 | Amy L Mack Sindelar | Speech-Language Pathologist | 13800 W North Ave, Child Development Center, Brookfield, WI 53005-4977 | 2011-03-24 |
| 1750513537 | Sara K Quates | Nurse Practitioner | 13800 W North Ave, Child Development Center, Brookfield, WI 53005-4977 | 2009-08-13 |
| 1427121979 | Sun Young Ruggeri | Dermatology | 13800 W North Ave, Ste 100, Brookfield, WI 53005-4974 | 2006-11-15 |
| 1235173030 | Jane J Mcsweeney | Nurse Practitioner | 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 | 2006-06-15 |
| 1326092230 | Dawn M Zahrt | Psychologist | 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 | 2006-05-22 |
| 1154373918 | Mark D Simms | Pediatrics | 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356897870 | Brittany Bice-urbach | Psychologist | 13800 W North Ave Ste 120, Brookfield, WI 53005-4977 | 2016-08-26 |
| 1629409248 | Joseph Caverly | Psychologist | 246 Federal Rd Ste C33, Brookfield, CT 06804-2648 | 2013-12-07 |
| 1881944791 | Claire M Topp | Psychologist | 2645 Almesbury Ave, Brookfield, WI 53045-3901 | 2012-09-18 |
| 1366741480 | Joanna Ruth Love | Psychologist | 17100 W North Ave Ste 100, Brookfield, WI 53005-4450 | 2011-03-16 |
| 1588822035 | Jillian Delorme | Psychologist | 828 Federal Rd Fl 2, Brookfield, CT 06804 | 2008-05-30 |
| 1598930810 | Michael W Shefsky | Psychologist | 220 Regency Ct, Suite L 103, Brookfield, WI 53045-6188 | 2008-04-28 |
| 1053591354 | Susan Eileen Donahoo | Psychologist | 660 Woelfel Rd, Brookfield, WI 53045-2927 | 2007-11-05 |
| 1194888438 | James J Bray | Psychologist | 16655 W Bluemound Rd, Suite 300, Brookfield, WI 53005 | 2006-12-18 |
| 1205935756 | Vicki J Harder | Psychologist | 300 Westmoor Dr, Brookfield, WI 53005-4082 | 2006-09-21 |
| 1942306683 | Victoria A Curran | Psychologist | 8633 Rockefeller Dr, Brookfield, IL 60513-1414 | 2006-09-16 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
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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.