MARY JO WILSON (NPI# 1700909538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700909538 |
| Entity Type | Individual |
| Full Name | MARY JO WILSON |
| Other Name | MARY JO CASTRO |
| Credential | PH.D |
| Practice Address |
315 W 57th St Suite 402 New York NY 10019-3158 |
| Mailing Address |
484 W 43rd St 44-m New York NY 10036-6319 |
| Practice Telephone | 2127576607 |
| Practice Fax Number | 2127572932 |
| Mailing Telephone | 2125641174 |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
010284 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152981 | Mary L Wilson | Technician | 2108 Camden Ave Ste A, Parkersburg, WV 26101-5676 | 2020-10-26 |
| 1699336222 | Mary Wilson | Counselor | 244 Washington Blvd Apt 3a, Oak Park, IL 60302-4147 | 2019-06-25 |
| 1730748906 | Mary Wilson | Registered Nurse | 1540 Lake Lansing Rd Ste G3, Lansing, MI 48912-3757 | 2019-06-11 |
| 1720580533 | Mary Ellen Wilson | Home Health Aide | 1219 Crystal St, Toledo, OH 43605-3806 | 2018-03-07 |
| 1386017283 | Mary Susan Wilson | Registered Nurse | 7175 Brills Lake Rd, Jackson, MI 49201-9691 | 2015-11-02 |
| 1831569755 | Mary Wilson | Social Worker | 915 Avenue B, Nederland, TX 77627-2902 | 2015-10-05 |
| 1376932707 | Mary Wilson | Case Manager/Care Coordinator | 119 Whispering Woods Ln, Alexandria, KY 41001-9226 | 2015-01-22 |
| 1144640087 | Mary Maningue Wilson | Home Health Aide | 9365 Steeple Ct, Laurel, MD 20723-5822 | 2014-04-18 |
| 1508176835 | Mary Lucinda Wilson | Counselor | 1536 Sunrise Plaza Dr Ste 100, Clermont, FL 34714-6204 | 2010-10-20 |
| 1538490776 | Mary Hayden Wilson | Counselor | 5828 Maria Del Mar St, Las Vegas, NV 89130-7299 | 2010-01-28 |
| Street Address |
315 W 57TH ST SUITE 402 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-3158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403485 | Edward Jew | Obstetrics & Gynecology | 315 W 57th St, Ste 204, New York, NY 10019-3158 | 2005-08-09 |
| 1740715150 | Nios Spa | Point of Service | 315 W 57th St, Suite 308, New York, NY 10019-3158 | 2017-04-23 |
| 1023553609 | Mollie Eliasof Lcsw Therapy Pllc | Social Worker | 315 W 57th St, Suite 307, New York, NY 10019-3158 | 2017-01-05 |
| 1063969798 | Lydia Leinsdorf | Social Worker | 315 W 57th St, 10d, New York, NY 10019-3158 | 2016-09-11 |
| 1770933830 | Elkhonon Goldberg | Clinical Neuropsychologist | 315 W 57th St, Suite 401, New York, NY 10019-3158 | 2016-06-20 |
| 1023473378 | Altus Neurosurgery and Spine Pllc | Specialist | 315 W 57th St, Apt 15j, New York, NY 10019-3158 | 2015-12-30 |
| 1679947519 | Katherine Cazilas | Physician Assistant | 315 W 57th St, New York, NY 10019-3158 | 2015-11-16 |
| 1497123574 | Knighton Mental Health Services | Community/Behavioral Health | 315 W 57th St, 307, New York, NY 10019-3158 | 2015-09-08 |
| 1063859890 | Susan B. Roane | Psychologist | 315 W 57th St, Suite 410, New York, NY 10019-3158 | 2013-06-03 |
| 1962741025 | Caitlin Brady | Nurse Practitioner | 315 W 57th St, Suite 304, New York, NY 10019-3158 | 2013-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
| Find all providers in zip 10019 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101848 | Venus Hardy | Psychologist | 39 Bowery, 597, New York, NY 10002-6702 | 2017-12-29 |
| 1588031827 | Elizabeth Chapman | Psychologist | 1051 Riverside Dr # 111, C/o Jules Ranz, New York, NY 10032-1007 | 2015-08-21 |
| 1790023042 | David Michael Feuer | Psychologist | 30 W. 9th St., 5c, New York, NY 10011 | 2013-01-22 |
| 1205038130 | Albert M. Sax | Psychologist | 11 East 87th St, New York, NY 10128-0527 | 2007-06-04 |
| 1124237698 | Susan Margaret Deakins | Psychologist | 245 W 107th St Apt 3h, New York, NY 10025-3052 | 2007-05-22 |
| 1427274596 | Rivka Bekerman Greenberg | Psychologist | 350 W 57th St, 3a, New York, NY 10019-3758 | 2007-04-17 |
| 1689898983 | Jeanette E Cueva | Psychologist | 40 Park Ave Apt 1k, New York, NY 10016-3456 | 2007-04-11 |
| 1992762793 | Kent Shinbach | Psychologist | 14 E 75th St, 1a, New York, NY 10021-2625 | 2006-04-27 |
| 1639405699 | Nicole Alison Naggar | Psychologist | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2009-10-27 |
| 1104076165 | Glenn A Brottman Md PC | Psychologist | 119 West 57th Street, Suite 1101, New York, NY 10019 | 2008-09-26 |
| Find all providers in NEW YORK | ||||
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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.