DR. INGRID MARIE WILSON (NPI# 1780890723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780890723 |
| Entity Type | Individual |
| Full Name | DR. INGRID MARIE WILSON |
| Credential | PHD |
| Practice Address |
3741 Stocker St #105 View Park CA 90008-5109 |
| Mailing Address |
4712 Admiralty Way 512 Marina Del Rey CA 90292-6905 |
| Practice Telephone | 3107028460 |
| Practice Fax Number | 8772073820 |
| Mailing Telephone | 3107028460 |
| Mailing Fax Number | 8772073840 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2016-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY15620 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155406 | Ingrid Charlotte Wilson | Massage Therapist | 5210 Balboa Ave Ste F, San Diego, CA 92117-6958 | 2019-07-15 |
| 1659368009 | Ingrid N. Wilson | Obstetrics & Gynecology | 6255 Inkster Rd, Suite 203, Garden City, MI 48135-2577 | 2005-09-30 |
| Street Address |
3741 STOCKER ST #105 |
| City | VIEW PARK |
| State | CA |
| Zip Code | 90008-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255838413 | James Coley | Counselor | 3741 Stocker St, View Park, CA 90008 | 2018-04-12 |
| 1629599428 | Virginia Sotelo | Case Manager/Care Coordinator | 3741 Stocker St, View Park, CA 90008-5109 | 2017-06-30 |
| 1528427184 | Los Angeles County Department of Mental Health | Clinic/Center | 3741 Stocker St, Suite 200, View Park, CA 90008-5148 | 2016-02-11 |
| 1740673912 | Los Angeles County Department of Mental Health | Clinic/Center | 3741 Stocker St, Ste. 200, View Park, CA 90008-5109 | 2015-03-12 |
| 1801228432 | Daisy Samantha Valdez | Social Worker | 3741 Stocker St, View Park, CA 90008-5109 | 2013-08-06 |
| 1912268657 | Juan Manuel Navarro Jr. | Psychologist | 3741 Stocker St, View Park, CA 90008-5109 | 2012-05-30 |
| 1598897969 | Robin Elaine Moten | Social Worker | 3741 Stocker St, 207, View Park, CA 90008-5109 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185215 | Mishanda Y Freeman | Social Worker | 3001 West Vernon Ave, Los Angeles, CA 90008 | 2019-10-11 |
| 1104390723 | Joana Rodriguez | Rehabilitation Practitioner | 3731 Stocker St., Suite 105, Los Angeles, CA 90008 | 2019-01-16 |
| 1356840128 | Acclivity | Community/Behavioral Health | 3870 Crenshaw Blvd Ste 229, Los Angeles, CA 90008 | 2018-02-07 |
| 1376055145 | Gentle F Carcamo | Rehabilitation Practitioner | 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 | 2017-11-01 |
| 1710498332 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4173 2nd Ave, Los Angeles, CA 90008 | 2017-10-23 |
| 1144748591 | Alexandra Nicole Romero | Social Worker | 3751 Stocker St., Los Angeles, CA 90008 | 2017-09-06 |
| 1669998209 | Leslie S Ortiz | Counselor | 3731 Stocker Street, Suite 105, Los Angeles, CA 90008 | 2017-08-15 |
| 1902335078 | Deanna L Williams | Counselor | 3757 Santa Rosalia Drive, #628, Los Angeles, CA 90008 | 2017-06-12 |
| 1609300508 | Lydia Quintanills | Counselor | 3756 Santa Rosalia Dr Suite 617, Los Angeles, CA 90008 | 2017-04-18 |
| 1881056661 | A Plus Care Giver Services | Clinic/Center | 2420 W. Mlk Jr. Blvd, Los Angeles, CA 90008 | 2016-03-22 |
| Find all providers in zip 90008 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912268657 | Juan Manuel Navarro Jr. | Psychologist | 3741 Stocker St, View Park, CA 90008-5109 | 2012-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
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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.