EARL DEAN WILSON (NPI# 1639490022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639490022 |
| Entity Type | Individual |
| Full Name | EARL DEAN WILSON |
| Practice Address |
8305 Se Monterey Ave 220 Happy Valley OR 97086-7725 |
| Mailing Address |
8305 Se Monterey Ave Happy Valley OR 97086-7725 |
| Practice Telephone | 5036594082 |
| Practice Fax Number | 5036594951 |
| Mailing Telephone | 5036594082 |
| Mailing Fax Number | 5036594951 |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2010-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 375 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383445 | Earl Andre Wilson | Registered Nurse | 1157 Ne 37th Pl, Homestead, FL 33033-5915 | 2018-04-10 |
| 1164630018 | Earl Wilson IIi | Marriage & Family Therapist | 6205 Hanging Moss Rd, Jackson, MS 39206-2121 | 2007-05-21 |
| 1669985883 | Earl Deangelo Wilson | Home Health Aide | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2017-11-09 |
| 1588899694 | Earl L Wilson | Anesthesiology | 22 S Greene St, Anesthesiology, S8c00, Baltimore, MD 21201 | 2009-05-19 |
| 1215104997 | Earl Denis Wilson | Dentist | 1713 Elizabethtown Rd, Leitchfield, KY 42754-8128 | 2008-05-13 |
| 1780630566 | Earl Wilson | Anesthesiology | 800 Spruce St, Phila, PA 19107-6130 | 2006-05-25 |
| 1568455244 | Earl Keith Wilson | Psychiatry & Neurology | 3183 W State St, Suite 1201, Bristol, TN 37620-1712 | 2005-08-26 |
| Street Address |
8305 SE MONTEREY AVE 220 |
| City | HAPPY VALLEY |
| State | OR |
| Zip Code | 97086-7725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134586274 | Mountain Crest Counseling Services, LLC | Community/Behavioral Health | 8305 Se Monterey Ave, Suite 111, Happy Valley, OR 97086 | 2016-01-20 |
| 1518339316 | Amy Smith | Massage Therapist | 8305 Se Monterey Ave, Suite #220-j, Happy Valley, OR 97086-7725 | 2015-10-20 |
| 1780056580 | Amy Smith LLC | Massage Therapist | 8305 Se Monterey Ave, Suite #220-j, Happy Valley, OR 97086-7725 | 2015-10-20 |
| 1730485707 | Tim Ludeman | Counselor | 8305 Se Monterey Ave, Suite 220, Happy Valley, OR 97086-7725 | 2011-02-08 |
| 1831426949 | Ryan Frederick Hosley | Counselor | 8305 Se Monterey Ave, Suite 220, Happy Valley, OR 97086-7725 | 2009-11-10 |
| 1962613992 | Michelle Leanne Williams | Counselor | 8305 Se Monterey Ave, Suite 220g, Happy Valley, OR 97086-7725 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063803674 | Brandy Lynn Sajovic | Case Manager/Care Coordinator | 10822 Se 82nd Ave., Suite K, Happy Valley, OR 97086 | 2015-02-18 |
| 1851795561 | Tyler Lundquist | Chiropractor | 16144 Se Happy Valley Town Center Dr #214, Happy Valley, OR 97086 | 2014-10-09 |
| 1184040644 | Rui O'reilly | Massage Therapist | 10911 Se Alyssa Dr, Happy Valley, OR 97086 | 2014-03-07 |
| 1083036990 | Laura Dillard | Registered Nurse | 10822 Se 82nd Ave, Happy Valley, OR 97086 | 2014-01-11 |
| 1699027672 | Clackamas Town Dental, LLC | Dentist | 9225 Se Sunnyside Road, Clackamas, OR 97086 | 2012-10-15 |
| 1750639233 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 11800 Se 82nd Avenue, Happy Valley, OR 97086 | 2012-08-15 |
| 1962641654 | Mt Scott Vision and Ocular Imaging Center PC | Optometrist | 9300 Ne 91st Ave, Suite 100, Happy Valley, OR 97086 | 2009-02-19 |
| 1598916546 | Cynthia Sue Weaver | Nurse Practitioner | 9300 Se 91 Ave., Suite 400, Portland, OR 97086 | 2008-10-08 |
| 1396928776 | Cary Ann Fardal | Dietitian, Registered | 13444 Se Piper Dr, Happy Valley, OR 97086 | 2007-12-09 |
| 1689873242 | New Seasons Market - Happy Valley | Pharmacy | 15861 Se Happy Valley Town Center Dr., Happy Valley, OR 97086 | 2007-07-13 |
| Find all providers in zip 97086 | ||||
| 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 |
|---|---|---|---|---|
| 1144385246 | Jeffrey L Anderson | Psychologist | 11211 Se 82nd Ave Ste O, Happy Valley, OR 97086-7624 | 2006-12-27 |
| 1265471833 | Wendi Hirsch Major | Psychologist | 9300 Se 91st Ave Ste 200, Happy Valley, OR 97086 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1407453889 | Larissa Catherine Miller | Psychologist | 2920 Alder St, Eugene, OR 97405-4146 | 2020-10-08 |
| 1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
| 1619583408 | Kyleemillerphd | Psychologist | 586 Welcome Way Se, Salem, OR 97302-3932 | 2020-09-17 |
| 1740890771 | Marion David | Psychologist | 8228 Sw 171st Place, First Floor, Beaverton, OR 97007-6787 | 2020-08-04 |
| 1679182364 | Psychological Services of Pendleton, LLC | Psychologist | 1100 Southgate Ste 13, Pendleton, OR 97801-3973 | 2020-07-28 |
| 1497373021 | Jennifer Schmidt | Psychologist | 995 Stonewater Dr., Eagle Point, OR 97524 | 2020-07-09 |
| 1063039592 | Cyti Psychology LLC | Psychologist | 12205 Sw Tualatin Rd Ste 270, Tualatin, OR 97062-7623 | 2020-06-30 |
| 1811518434 | Nathaniel Israel | Psychologist | 7419 Se Woodstock Blvd, Portland, OR 97206-5838 | 2020-05-05 |
| 1477198315 | Emi Sumida Brown | Psychologist | 993 Nw Circle Blvd Ste A, Corvallis, OR 97330-1408 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
| City | HAPPY VALLEY |
| Zip Code | 97086 |
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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.