VICTORIA L WILSON (NPI# 1649208018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649208018 |
Entity Type | Individual |
Full Name | VICTORIA L WILSON |
Credential | MA, LLP, BCBA |
Practice Address |
680 3 Mile Rd Nw Suite C Grand Rapids MI 49544-8218 |
Practice Telephone | 6166473460 |
Practice Fax Number | 6166473467 |
Mailing Telephone | 6166473460 |
Mailing Fax Number | 6166473467 |
Enumeration Date | 2006-06-28 |
Last Update Date | 2015-04-22 |
NPI Deactivation Date | 02/13/2007 |
NPI Reactivation Date | 2008-02-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
6301012332 | MI | Behavioral Health & Social Service Providers |
N | 103K00000X | Behavioral Analyst | 1-14-15288 | MI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386134666 | Victoria Kalene Wilson | Specialist/Technologist | 801 Macarthur Blvd Ste 405, Munster, IN 46321-2919 | 2018-05-13 |
1659894558 | Victoria Wilson | Behavior Technician | 702 Riverplace Dr Apt 1127, Arlington, TX 76006-2143 | 2017-07-23 |
1063699569 | Victoria V Wilson | Family Medicine | 113 Westminster Pike, Suite 101, Reisterstown, MD 21136-1047 | 2008-01-28 |
1083643720 | Victoria Elaine Wilson | Social Worker | 1110 Benfield Blvd Suite H, Severna Park Professional Counseling Center, Millersville, MD 21108 | 2006-07-03 |
1518502335 | Victoria Leeann Wilson | Case Manager/Care Coordinator | 1921 Ransom Pl, Nashville, TN 37217-3841 | 2019-11-15 |
1336600899 | Victoria Wilson | Student in an Organized Health Care Education/Training Program | 740 S Limestone Room A262, Lexington, KY 40536-0293 | 2019-03-27 |
1093274797 | Victoria Wilson | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811-3241 | 2019-03-13 |
1841788213 | Victoria Wilson | Counselor | 2017 Hudson Ln, Monroe, LA 71201 | 2018-05-01 |
1366817652 | Victoria Wilson | Physical Therapist | 66 Commack Rd, Suite 300, Commack, NY 11725-3405 | 2015-12-11 |
1144634569 | Victoria Wilson | Nurse Practitioner | 155 Lawn Ave, Buffalo, NY 14207-1816 | 2014-06-13 |
Street Address |
680 3 MILE RD NW SUITE C |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49544-8218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235116872 | Alpine Family Podiatry PC | Podiatrist | 680 3 Mile Rd Nw, Grand Rapids, MI 49544-8218 | 2005-12-24 |
1265974976 | Kimberly Sue Lichon-tufer | Social Worker | 680 3 Mile Rd Nw, Suite C, Grand Rapids, MI 49544-8218 | 2016-11-11 |
1992154769 | Northpointe Family Dental | Dentist | 680 3 Mile Rd Nw, Grand Rapids, MI 49544-8218 | 2016-06-12 |
1386017499 | Stephanie Exton | Behavioral Analyst | 680 3 Mile Rd Nw, Suite C, Grand Rapids, MI 49544-8218 | 2015-11-11 |
1669884169 | Jennifer Barabas | Social Worker | 680 3 Mile Rd Nw, Suite C, Grand Rapids, MI 49544-8218 | 2014-06-02 |
1407103047 | Susan F. Jongekryg | Social Worker | 680 3 Mile Rd Nw, Suite C, Grand Rapids, MI 49544-8218 | 2012-08-14 |
1427288000 | Carrie Louise Labarge | Psychologist | 680 3 Mile Rd Nw, Suite C, Grand Rapids, MI 49544-8218 | 2009-07-17 |
1033398581 | Sandra Jean Wynn-stelt | Psychologist | 680 3 Mile Rd Nw, Suite C, Grand Rapids, MI 49544-8218 | 2007-11-01 |
1366594897 | Laura Velzen Triezenberg | Social Worker | 680 3 Mile Rd Nw, Suite C, Grand Rapids, MI 49544-8218 | 2007-01-17 |
1154308724 | Michael G Meyers | Podiatrist | 680 3 Mile Rd Nw, Grand Rapids, MI 49544-8218 | 2005-12-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
Find all providers in zip 49544 |
Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538531017 | Life Journey Pllc | Psychologist | 2013 East Castle Drive Sw, Suite B, Grand Rapids, MI 49508 | 2015-10-23 |
1164694006 | Andrea Lee Rotzien | Psychologist | 4701 Plainfield Ave. Ne, Suite C, Grand Rapids, MI 49525 | 2008-04-01 |
1427288000 | Carrie Louise Labarge | Psychologist | 680 3 Mile Rd Nw, Suite C, Grand Rapids, MI 49544-8218 | 2009-07-17 |
1770761850 | Judith Ellen Snow | Psychologist | 3501 Lake Eastbrook Blvd Se, Suite 146, Grand Rapids, MI 49546-5938 | 2008-01-31 |
1033398581 | Sandra Jean Wynn-stelt | Psychologist | 680 3 Mile Rd Nw, Suite C, Grand Rapids, MI 49544-8218 | 2007-11-01 |
1508057548 | Laura Lee Bennett | Psychologist | 1007 Parchment Dr Se, Grand Rapids, MI 49546-3664 | 2007-08-06 |
1073722542 | Mary Beth Child | Psychologist | 4701 Plainfield Ave Ne, Suite C, Grand Rapids, MI 49525-1644 | 2007-05-22 |
1689740078 | Gregory Scot Deacon | Psychologist | 201 Sheldon Blvd Se, Grand Rapids, MI 49503-4513 | 2006-11-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820598 | Alexander William Krieg | Psychologist | 31235 Ramble Rd, Franklin, MI 48025-1367 | 2020-10-26 |
1699389395 | Linda D Seltzer-sucher Phd LLC | Psychologist | 275 Bryn Mawr St, Birmingham, MI 48009-1501 | 2020-09-01 |
1780154435 | Erica Griffis Prime | Psychologist | 28066 Sunset Blvd W, Lathrup Village, MI 48076-2658 | 2018-11-26 |
1932600772 | Grand Blanc Psychology Pllc | Psychologist | 8382 Holly Rd Ste 1, Grand Blanc, MI 48439-1972 | 2018-02-27 |
1649792292 | Livingston Psychological Services, Pllc | Psychologist | 204 W Grand River Ave Ste 260, Howell, MI 48843 | 2017-07-14 |
1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
1912356254 | Maurice Moses Jr. | Psychologist | 541 Walbridge Dr, East Lansing, MI 48823-2039 | 2016-06-07 |
1548654148 | Darya Owens | Psychologist | 1235 Saint Clair St, Detroit, MI 48214-3671 | 2015-03-23 |
1538582671 | Laura Ann Wyglinski, Ph. D. | Psychologist | 4675 Okemos Rd, Okemos, MI 48864-1974 | 2014-01-25 |
1659669380 | Edward Dewitt Huntley Iv | Psychologist | 1681 Fulmer St, Ann Arbor, MI 48103-2452 | 2011-07-15 |
Find all providers with the same taxonomy |
City | GRAND RAPIDS |
Zip Code | 49544 |
Please comment or provide details below to improve the information on VICTORIA L WILSON.
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.