Organization Active NPI

Linda S. Wilson, PHD, PLLC

  • Psychologist
  • Asheville, NC
National Provider Identifier
1134401417
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2722 Issued in NC
Legal business name
LINDA S. WILSON, PHD, PLLC
Practice address
1011 Tunnel Rd Ste 240
Asheville, NC 28805-2060
Phone
(828) 215-0589
Fax
(828) 412-0282
NPI assigned
Sep 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Authorized official

Name
Dr. Linda S. Wilson, PHD
Title
Owner/President
Phone
(828) 215-0589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 2722 NC Primary

Addresses

Primary practice location

1011 Tunnel Rd Ste 240
Asheville, NC 28805-2060

Mailing address

1011 Tunnel Rd Ste 240
Asheville, NC 28805-2060
Phone (828) 215-0589

Other identifiers 2

IdentifierTypeStateIssuer
6001079MedicaidNC
50880OtherNCHEALTH SERVICES PROVIDER - PSYCHOLOGIST

National Provider Directory

National Provider Directory

Locations

233 S French Broad Ave
Asheville, NC 28801
Phone (828) 254-0749

1011 Tunnel Rd
Ste 240
Asheville, NC 28805
Phone (828) 215-0589

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1134401417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 TUNNEL RD STE 240",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052060",
            "telephone_number": "828-215-0589",
            "fax_number": "828-412-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 TUNNEL RD STE 240",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052060",
            "telephone_number": "828-215-0589",
            "fax_number": "828-412-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA S. WILSON, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "828-215-0589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001079",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SERVICES PROVIDER - PSYCHOLOGIST",
            "identifier": "50880",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.