Active NPI
Lienna Wilson, PSYD
- Psychologist
- Princeton, NJ
National Provider Identifier
1063987931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS018635
- Practice address
- 9 Mercer St FL 2
Princeton, NJ 08540-6810 - Phone
- (609) 669-0289
- NPI assigned
- Oct 8, 2018
- Last updated
- Feb 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS018635 | PA | Primary |
Addresses
Primary practice location
9 Mercer St FL 2
Princeton, NJ 08540-6810
Mailing address
9 Mercer St FL 2
Princeton, NJ 08540-6810
Phone (609) 669-0289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS018635 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1063987931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MERCER ST FL 2",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085406810",
"telephone_number": "609-669-0289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 MERCER ST FL 2",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085406810",
"telephone_number": "609-669-0289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LIENNA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-08",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS018635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.