Wilson Clinical Services, PLLC.

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

Legal business name

WILSON CLINICAL SERVICES, PLLC.

Practice address

1117 A St
Tacoma, WA 98402-5003

Phone

(360) 339-7752

NPI assigned

Jul 31, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jaime A B Wilson, PH.D., ABPP, MSCPNPI 1396930343

Title

Prescribing Medical Psychologist

Phone

(253) 200-0255

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaime A B Wilson, PH.D., ABPP, MSCP

  • Prescribing (Medical) Psychologist
  • Tacoma, WA
  • NPI 1396930343

  Clinical Neuropsychologist

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1063643567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 A ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025003",
            "telephone_number": "360-339-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 A ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025003",
            "telephone_number": "360-339-7752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Washington St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Montpelier",
            "state": "ID",
            "postal_code": "832541600",
            "country_code": "US",
            "telephone_number": "360-359-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILSON CLINICAL SERVICES, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "A B",
        "authorized_official_title_or_position": "PRESCRIBING MEDICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "253-200-0255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., ABPP, MSCP"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "602937457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda M Wills, PSY.D.
• Xylina Rae Wilmarth
• Brianne Kathleen Wilmor
• Katherine Lambos Wilsey, PSY.D.
• Jennifer Wilsie
• Tomi Lynn Wilson-Keiser, MS, CCC-SLP
• Aleesha Marie Wilson, LMT
• Alicia Wilson
• Anne Janette Wilson, PA-C
• Ashley Wilson, LMP

• Prescribing (Medical) Psychologist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Prescribing (Medical) Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.