DR. MICHAEL JOHN WILSON


Address: 9301 Madison St Rm 369, Crown Point, IN 46307-7745
Phone: 3125695047

DR. MICHAEL JOHN WILSON (NPI# 1386203537) 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) 1386203537
Entity Type Individual
Full Name DR. MICHAEL JOHN WILSON
Credential PH.D.
Practice Address 9301 Madison St Rm 369
Crown Point
IN 46307-7745
Practice Telephone 3125695047
Practice Fax Number 2106625174
Mailing Telephone 3125695047
Mailing Fax Number 2106625174
Enumeration Date 2019-06-11
Last Update Date 2019-06-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 071.009991 IL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
820 S Damen Ave, Chicago, IL 606123728 3125695047 2106625174

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1164895728 Michael Wilson Counselor 3027 Pleasant Grv, Bossier City, LA 71111-5758 2015-11-04
1013384379 Michael Wilson Counselor 7110 Sw Fir Loop Ste 220, Tigard, OR 97223 2015-08-21
1467828350 Michael Wilson Social Worker 30500 Southfield Road Apt. 200, Michael Wilson, Southfield, MI 48076 2015-08-14
1356723803 Michael Wilson II Home Health Aide 348 Wilson Ave, Port Clinton, OH 43452-1740 2015-06-22
1467641399 Michael C. Wilson Developmental Therapist 820 E 38th Pl Unit 1, Chicago, IL 60653-1969 2007-10-16
1538379912 Michael R Wilson Social Worker 24 Rectory Ln, Stanardsville, VA 22973-2980 2007-05-23

Office Location

Street Address 9301 MADISON ST RM 369
City CROWN POINT
State IN
Zip Code 46307-7745

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972117935 Alimat O Biokoro Home Health Aide 1446 W 94th Ct., Crown Point, IN 46307 2020-09-06
1508489931 Gentle Hearts Cardiovascular Institution LLC Internal Medicine 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 2020-05-20
1659933646 Darshak Joshi Physical Therapist 860 Stillwater Parkway, Crown Point, IN 46307 2019-07-01
1215592001 Jamie Monday Counselor 1416 East Joliet St., Crown Point, IN 46307 2019-05-07
1790281152 Tempus Labs Inc. Clinical Medical Laboratory 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 2018-04-04
1669991170 Katie Lynn Eich Counselor 1308 N. Main St, Crown Point, IN 46307 2017-09-15
1053847251 Nicole Bashan Lewis Counselor 1325 W 98th Ave, Crown Point, IN 46307 2017-05-08
1710433008 Paul Alvin Clavecilla Physical Therapist 1099 South Main St., Apt. 314, Crown Point, IN 46307 2016-08-28
1851761365 Cynthia Catherine Grass Black Social Worker 8592 Bell Lane, Crown Point, IN 46307 2015-09-28
1326437799 Ameya Dorsatwar Physical Therapist 1516 North Main St, Crown Point, IN 46307 2015-01-22
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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 state

NPI Name Taxonomy Address Enumeration
1497273015 Jana Beth Dykstra Clinical Neuropsychologist 355 W 16th Street Goodman Hall, Indianapolis, IN 46202 2017-09-04
1558779355 Neurobehavioral Consultants, LLC Clinical Neuropsychologist 4356 N College Ave, Indianapolis, IN 46205-1932 2014-07-24
1275973257 Courtney Beth Johnson Clinical Neuropsychologist 2680 E Main St Ste 114, Plainfield, IN 46168-2827 2013-07-05
1619275807 Renee Elizabeth Buskirk Clinical Neuropsychologist 11143 Parkview Plaza Dr Ste 207, Fort Wayne, IN 46845-1728 2011-03-11
1417251109 Bradford J Eaton Phd Clinical Neuropsychologist 15744 Sunrise Trl, Granger, IN 46530-9034 2011-01-10
1306170626 Elizabeth Begyn Clinical Neuropsychologist 541 Clinical Dr # Cl285, Indianapolis, IN 46202-5233 2009-09-21
1285865378 Anps-in LLC Clinical Neuropsychologist 908 Roosevelt Rd, Suite K, Valparaiso, IN 46383-4375 2009-08-06
1215101696 Michelle Anne Keiski Clinical Neuropsychologist 355 W 16th St Ste 4700, Indianapolis, IN 46202-2285 2008-04-17
1669641114 Estes Neuropsychology, LLC Clinical Neuropsychologist 1655 N Gladstone Ave Ste D, Columbus, IN 47201-5380 2008-02-28
1457538977 Javan Lee Horwitz Clinical Neuropsychologist 755 W Carmel Dr Ste 205, Carmel, IN 46032-5878 2008-01-28
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Competitor

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City CROWN POINT
Zip Code 46307

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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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