Active NPI
Linda S. Wilson, PHD, PLLC
- Psychologist
- Asheville, NC
National Provider Identifier
1134401417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2722
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6001079 | Medicaid | NC | |
| 50880 | Other | NC | HEALTH SERVICES PROVIDER - PSYCHOLOGIST |
National Provider Directory
National Provider DirectoryLocations
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.