DR. DAVID LEE WILSON (NPI# 1396958013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396958013 |
| Entity Type | Individual |
| Full Name | DR. DAVID LEE WILSON |
| Credential | PH.D. |
| Practice Address |
5200 Churn Creek Rd Ste E Redding CA 96002-3930 |
| Practice Telephone | 5302232777 |
| Practice Fax Number | 5302230977 |
| Mailing Telephone | 5302232777 |
| Mailing Fax Number | 5302230977 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY 3325 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083828 | David Ephriam Wilson V | Pharmacist | 4099 Red Bluff Rd, Loris, SC 29569-6238 | 2020-11-05 |
| 1265030969 | David Nicholas Wilson | Social Worker | 2419 E Hazzard St, Philadelphia, PA 19125-3112 | 2020-10-14 |
| 1467059527 | David Ray Wilson IIi | Technician | 345 City Ave Apt 1, Beckley, WV 25801-5967 | 2020-10-02 |
| 1609484708 | David Wilson | Technician | 254 Township Road 1110, Proctorville, OH 45669-8437 | 2020-07-15 |
| 1598386856 | David Wilson | Pharmacist | 192 S Dry Creek Ln, Vineyard, UT 84059-5680 | 2020-04-28 |
| 1275982779 | David M. Wilson | Specialist/Technologist | 7510 Madison St, Merrillville, IN 46410-4609 | 2016-06-07 |
| 1609253376 | David Wilson Jr. | Massage Therapist | 2904 Odonnell St, Baltimore, MD 21224-4820 | 2015-05-01 |
| 1992115794 | David Andrew Wilson | Massage Therapist | 1501 E Jefferson St, Seattle, WA 98122-5627 | 2014-05-01 |
| 1184040800 | David Charles Wilson | Counselor | 116 Dumaine Pl, Madison, MS 39110-9234 | 2014-03-06 |
| 1104259167 | David Lawrence Wilson | Counselor | 702 E. Franklin Avenue, Sunnyside, WA 98944-0997 | 2013-08-14 |
| Street Address |
5200 CHURN CREEK RD STE E |
| City | REDDING |
| State | CA |
| Zip Code | 96002-3930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048037 | Daniel Eli Bartee | Counselor | 555 Leila Ave #44, Redding, CA 96002 | 2020-09-17 |
| 1407467129 | Drake Exstrom | Dentist | 2315 North Bechelli Ln, Suite A, Redding, CA 96002 | 2020-08-14 |
| 1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 2018-05-07 |
| 1528510153 | Daniel Conklin | Pharmacist | 2880 Churn Creek, Redding, CA 96002 | 2016-10-31 |
| 1740653864 | Votc, Inc. | Substance Abuse Rehabilitation Facility | 3590 El Portal Dr., # 7, 8, 9, 10, 15, 16, & 17, Redding, CA 96002 | 2015-11-11 |
| 1801226253 | Katie Marie Mccullough-stubbs | Marriage & Family Therapist | 3300 Church Creek, Redding, CA 96002 | 2013-11-21 |
| 1801234026 | Kathy Lynne Hawk | Community Health Worker | 2051 Hilltop Dr A-13, Redding, CA 96002 | 2013-06-10 |
| 1619247590 | Wright Education Services | Social Worker | 2660 Victor Ave, Redding, CA 96002 | 2012-01-09 |
| 1275828840 | Shannika Tricia Dao | Dentist | 2695 Bechelli Ln, Redding, CA 96002 | 2011-06-13 |
| 1336442664 | Small Talk Pediatric Services, Inc. | Speech-Language Pathologist | 2526 Goodwater Ave., Suite A, Redding, CA 96002 | 2010-12-08 |
| Find all providers in zip 96002 | ||||
| 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 |
|---|---|---|---|---|
| 1457895021 | Erica Zapata Gonzalez | Psychologist | 2628 Victor Ave Ste B, Redding, CA 96002-1454 | 2016-12-15 |
| 1164633756 | Robert Clark Boyle | Psychologist | 429 Redcliff Dr, Suite 225, Redding, CA 96002-0167 | 2007-05-24 |
| 1669523569 | Bettina Von Moltke | Psychologist | 979 Mission De Oro Dr Ste G, Redding, CA 96003-3852 | 2007-01-16 |
| 1063516094 | Clarissa Zammitt | Psychologist | 1133 Hartnell Ave, Redding, CA 96002-2113 | 2006-09-11 |
| 1700998598 | Douglas W Craig | Psychologist | 1246 East Street, #2, Redding, CA 96099-2532 | 2006-08-31 |
| 1215950902 | Christine E Mosier | Psychologist | 1650 Oregon St Ste 109, Redding, CA 96001-1754 | 2006-07-25 |
| 1902828726 | Kristin Kay Miller | Psychologist | 1356 Olive Ave, Redding, CA 96001 | 2006-07-24 |
| 1821010273 | Gregory White | Psychologist | 2143 Airpark Dr Ste 3, Redding, CA 96001-2433 | 2006-07-24 |
| 1255377107 | Willene V.l. Pursell | Psychologist | 3182 Pinot Path, Redding, CA 96001-1300 | 2006-06-21 |
| 1710922299 | Therese Marie Helbick | Psychologist | 1246 East St, Ste 1, Redding, CA 96001-0836 | 2006-06-18 |
| Find all providers in REDDING | ||||
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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.