DR. KEVIN EDWARD WILSON (NPI# 1861561268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861561268 |
| Entity Type | Individual |
| Full Name | DR. KEVIN EDWARD WILSON |
| Credential | PH.D. |
| Practice Address |
5587 Garden Village Way Ste A Greensboro NC 27410-8590 |
| Mailing Address |
Po Box 469 Kernersville NC 27285-0469 |
| Practice Telephone | 3365401065 |
| Mailing Telephone | 3365401065 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | HSP-P #0942 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033749031 | Kevin H Wilson | Social Worker | 30938 W Mitchell Dr, Buckeye, AZ 85396-6813 | 2020-01-19 |
| 1427548833 | Kevin Wilson | Dentist | 2034 Sturbridge Dr Apt B2, Columbus, OH 43209-4424 | 2018-05-11 |
| 1073037008 | Kevin M Wilson | Durable Medical Equipment & Medical Supplies | 2547 W Augusta Blvd # 4, Chicago, IL 60622-4561 | 2017-08-01 |
| 1275874356 | Kevin Jerome Wilson | Counselor | 970 E. 126th Terrace, Olathe, KS 66061 | 2013-03-14 |
| 1386965812 | Kevin Ford Wilson | Military Health Care Provider | 1 Wahoo Ave # 600, Groton, CT 06349-2324 | 2010-06-18 |
| 1437488749 | Kevin Poul Wilson | Counselor | 1819 N Dover St, Independence, MO 64058-1231 | 2009-12-15 |
| 1932368545 | Kevin Wilson | Physician Assistant | 1015 E 15th St, Plano, TX 75074-6221 | 2008-06-09 |
| 1073787776 | Kevin David Wilson | Family Medicine | 3801 N Mccoll Rd Apt 617, Mcallen, TX 78501-9141 | 2008-04-15 |
| 1649293531 | Kevin Drew Wilson | Dentist | 154 Elm St, Milford, NH 03055-4759 | 2006-07-25 |
| 1104890128 | Kevin David Wilson | Physical Therapist | 2835 Miami Village Dr, Miamisburg, OH 45342-4587 | 2006-02-15 |
| Street Address |
5587 GARDEN VILLAGE WAY STE A |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27410-8590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265501662 | Ellen Cross Wilson | Psychologist | 5587 Garden Village Way Ste A, Greensboro, NC 27410-8590 | 2006-11-07 |
| 1265995344 | Jacinda Lela Anstead | Social Worker | 5587 Garden Village Way Ste A, Greensboro, NC 27410-8590 | 2019-04-07 |
| 1396256426 | Garden Village Psychiatric and Counseling Services Pllc | Nurse Practitioner | 5587 Garden Village Way Ste A, Greensboro, NC 27410-8590 | 2017-10-16 |
| 1124473335 | Therapeutic Connections, Pllc | Community/Behavioral Health | 5587 Garden Village Way Ste A, Greensboro, NC 27410-8590 | 2016-04-26 |
| 1912033689 | Leslie Camille O'neal Brewington | Nurse Practitioner | 5587 Garden Village Way Ste A, Greensboro, NC 27410 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1457846495 | Courtney Canty James | Pharmacist | 3300 W Friendly Ave, Greensboro, NC 27410 | 2018-06-22 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
| Find all providers in zip 27410 | ||||
| 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 |
|---|---|---|---|---|
| 1932746294 | Lindsay Pulver | Psychologist | 3501 Sherbourne Ln, Greensboro, NC 27405-4964 | 2019-12-05 |
| 1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
| 1568998938 | Kristy Lynn Bassili | Psychologist | 122 N Elm St Ste 400, Greensboro, NC 27401-2842 | 2017-05-04 |
| 1225394265 | Barium Springs Home for Children | Psychologist | 217 N Edgeworth St, Greensboro, NC 27401 | 2012-04-04 |
| 1639475387 | Zakiyyah Jones | Psychologist | 1 Centerview Dr Ste 309, Greensboro, NC 27407-3712 | 2011-01-28 |
| 1992037261 | Wayne Sidney Fullerton | Psychologist | 2211 W. Meadowview Road, Suite 10, Greensboro, NC 27407 | 2010-02-11 |
| 1649412883 | Dennis Lee Mcknight | Psychologist | 5509a W Friendly Ave, Suite 202a, Greensboro, NC 27410-4269 | 2009-04-02 |
| 1982850426 | Heiney & Associates | Psychologist | 403 Parkway Ste E, Greensboro, NC 27401-1653 | 2008-08-15 |
| 1619145257 | Tina Lanier Barrett | Psychologist | 2031 Martin Luther King Jr Dr, Greensboro, NC 27406-3342 | 2008-02-18 |
| 1790966729 | Jeanne E. Anderson | Psychologist | 606 Walter Reed Dr Ste B, Greensboro, NC 27403-1114 | 2007-11-19 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27410 |
Please comment or provide details below to improve the information on DR. KEVIN EDWARD 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.