Cara Wilson

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

637 Issued in NM

Practice address

1400 Sudderth Dr
Ruidoso, NM 88345-6103

Phone

(505) 257-2368

Fax

(505) 257-2141

NPI assigned

Dec 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

University of New Mexico School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edward H Tiller PHD PCGroup PAC ID 8426016684, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edward H Tiller PHD PC

  dba Williamsburg Centre For Therapy

  • Psychologist
  • Williamsburg, VA
  • NPI 1639252919
  Medicare reassignment Care Compare group NPD
• Thimble Shoals Counseling & Therapy Center PC

  dba Susan C Nicholson PhD, LCSW dba Thimble Shoals Counseling & Therapy Ce

  • Clinical Social Worker
  • Newport News, VA
  • NPI 1033138227
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184782310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SUDDERTH DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456103",
            "telephone_number": "505-257-2368",
            "fax_number": "505-257-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SUDDERTH DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456103",
            "telephone_number": "505-257-2368",
            "fax_number": "505-257-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NM",
            "license": "637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Mountain Wellness LLC
• Anson Mardell Whitton, RPH
• Michael Dale Widener, DN
• Debra Wilcox, LMT
• Julie Wilkinson, LPCC
• Sylvia Wilson, BMS
• Judith Wolfson, PROGRAM SUPPORT
• Chris H Woodul, RPH
• Grady Woodul, DPT
• Linsey Elizabeth Worley, BMS

• School Psychologist in Ruidoso, NM
• Providers in Ruidoso, NM by specialty
• School Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.