Active NPI
Scott Alan Wilson
- Counseling Psychologist
- Scottsdale, AZ
National Provider Identifier
1073090700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 5010 E Shea Blvd Ste D202
Scottsdale, AZ 85254-4570 - Phone
- (602) 569-4328
- Fax
- (602) 569-4378
- NPI assigned
- Jul 25, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
5010 E Shea Blvd Ste D202
Scottsdale, AZ 85254-4570
Mailing address
15724 E Kim Dr
Fountain Hills, AZ 85268-1800
Phone (480) 862-9887
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1073090700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15724 E KIM DR",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852681800",
"telephone_number": "480-862-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 E SHEA BLVD STE D202",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852544570",
"telephone_number": "602-569-4328",
"fax_number": "602-569-4378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SCOTT",
"middle_name": "ALAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-25",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.