Emma Hiatt Wilson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2115 Issued in AL

Practice address

1115 Leighton Ave Ste 1a
Anniston, AL 36207-4610

Phone

(256) 238-8113

Fax

(256) 238-8955

NPI assigned

Jun 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emma.wilson.1@23314.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23314/brand/1/csg/1/fhir/r4

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

• Wilson Psychology Group LLC

  • Psychologist
  • Anniston, AL
  • NPI 1851981641
  Medicare reassignment NPD Authorized official
• SVPS Psychiatric Services LLC

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1447528591
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1184829145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 LEIGHTON AVE STE 1A",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074610",
            "telephone_number": "256-238-8113",
            "fax_number": "256-238-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 LEIGHTON AVE STE 1A",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074610",
            "telephone_number": "256-238-8113",
            "fax_number": "256-238-8955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13601 San Pablo Ave",
            "address_purpose": "LOCATION",
            "city": "San Pablo",
            "state": "CA",
            "postal_code": "948063818",
            "country_code": "US",
            "telephone_number": "510-231-9572 x4",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "EMMA",
        "middle_name": "HIATT",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27574",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "2115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Elizabeth Willis, PHARMD
• Pamela Hope Willis, LPTA
• Dorothy Wills, RN-BC, MAC, LPC
• Wilson Psychology Group LLC
• Brooklyn Wilson
• Priscilla Gann Wilson, PH.D., LPC
• Cassandra Jo Winterrowd, DMD
• Ronald W Womack, CRNA
• Samantha Womack, FNP-BC
• Women'S Healthcare of Northeast Alabama

• Psychologist in Anniston, AL
• Providers in Anniston, AL by specialty
• Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.