Christina Sara Wilson, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

652 Issued in WV

Practice address

9000 Coombs Farm Rd Ste 202
Morgantown, WV 26508-1150

Phone

(304) 554-0504

Fax

(304) 554-0505

NPI assigned

Feb 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuropsychology Group of West Virginia PLLCGroup PAC ID 0042526212, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Neuropsychology Group of West Virginia, PLLC

  • Clinical Psychologist
  • Morgantown, WV
  • NPI 1396124160

  Clinical Neuropsychologist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1194798157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 GIBBONS ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053557",
            "telephone_number": "304-276-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 COOMBS FARM RD STE 202",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081150",
            "telephone_number": "304-554-0504",
            "fax_number": "304-554-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 Chestnut Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265052807",
            "country_code": "US",
            "telephone_number": "304-598-4214",
            "fax_number": "304-293-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTINA",
        "middle_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "652",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WV",
            "license": "652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164505000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisha Wilson
• Alison Wilson, M.D.
• Carrie Lynn Wilson, FNP
• Cassidy Wilson
• Chase Allen Wilson, PHARMD
• Cynthia Kay Wilson I, M.A.,L.P.C.,C.C.A.C.
• Deborah Wilson, PT
• Jacob Charles Wilson, PA-C
• Jason M Wilson, DDS
• Jeremy Wilson

• Clinical Neuropsychologist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Clinical Neuropsychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.