NPIMap

Organization Active NPI

Emily Wilson, PSYD, LLC

  • Adult Mental Health Clinic/Center
  • Cockeysville, MD
National Provider Identifier
1174073290
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
05790 Issued in MD
Legal business name
EMILY WILSON, PSYD, LLC
Practice address
10635 York Rd
Cockeysville, MD 21030-2357
Phone
(443) 281-3675
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Emily Wilson, PSYD
Title
Clinical Psychologist
Phone
(443) 281-3675

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 05790 MD Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

10635 York Rd
Cockeysville, MD 21030-2357

Mailing address

10635 York Rd
Cockeysville, MD 21030-2357
Phone (443) 281-3675

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1174073290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10635 YORK RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302357",
            "telephone_number": "443-281-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10635 YORK RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302357",
            "telephone_number": "443-281-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY WILSON, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "443-281-3675",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "05790",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.