Organization Active NPI

Norman L Wilson MD PC

  • Adult Mental Health Clinic/Center
  • Washington, DC
National Provider Identifier
1154566883
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MD4506 Issued in DC
Legal business name
NORMAN L WILSON MD PC
Practice address
3000 Connecticut Ave NW
#208
Washington, DC 20008-2509
Phone
(202) 362-8660
Fax
(202) 483-3314
NPI assigned
Dec 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Dr. Norman Louis Wilson Jr., MD
Title
President
Phone
(202) 362-8660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MD4506 DC Primary

Addresses

Primary practice location

3000 Connecticut Ave NW
#208
Washington, DC 20008-2509

Mailing address

3000 Connecticut Ave NW
#208
Washington, DC 20008-2509
Phone (202) 362-8660

Other identifiers 1

IdentifierTypeStateIssuer
682460359OtherDCDCN

National Provider Directory

National Provider Directory

Locations

3000 Connecticut Ave NW
Ste 208
Washington, DC 20008
Phone (202) 362-8660

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1154566883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CONNECTICUT AVE NW",
            "address_2": "#208",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082509",
            "telephone_number": "202-362-8660",
            "fax_number": "202-483-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CONNECTICUT AVE NW",
            "address_2": "#208",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082509",
            "telephone_number": "202-362-8660",
            "fax_number": "202-483-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN L WILSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-362-8660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "DC",
            "license": "MD4506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCN",
            "identifier": "682460359",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.