Paige Wilson, PHD, LP, HSPP

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

6301019175 Issued in MI

Practice address

3960 Patient Care Dr Ste 104
Lansing, MI 48911-4292

Phone

(517) 887-9801

Fax

(517) 887-9826

NPI assigned

Jun 15, 2011

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

Other identifiers 1

Other names 1

• Paige Mission Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mnordness1256749@direct.uwhealth.org

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 Partners, LLC

  • Clinical Psychologist
  • Brighton, MI
  • NPI 1154849339
  Medicare reassignment NPD
• Psychological Associates in Rehabilitation PC

  • Clinical Neuropsychologist
  • Lansing, MI
  • NPI 1760434641
  Medicare reassignment NPD
• Solace Health Medical Group Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Redwood City, CA
  • NPI 1801669924

  MI

  Medicare reassignment NPD
• Dean Health Systems, Inc

  • Allergy & Immunology Physician
  • Madison, WI
  • NPI 1053358846
  NPD
• Dean Health Systems, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Portage, WI
  • NPI 1427085679
  NPD
• CNS Hospice LLC

  • Community Based Hospice Care Agency
  • Troy, MI
  • NPI 1578830881
  NPD (past)
• Soar Health, Inc.

  • Behavior Analyst
  • Denver, CO
  • NPI 1437751252

  Psychologist

  NPD (past)
• Solace Health Medical Group KS PA

  • Family Medicine Physician
  • Topeka, KS
  • NPI 1255246385
  NPD (past)

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1306131636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 PATIENT CARE DR STE 104",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114292",
            "telephone_number": "517-887-9801",
            "fax_number": "517-887-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 PATIENT CARE DR STE 104",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114292",
            "telephone_number": "517-887-9801",
            "fax_number": "517-887-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "PAIGE",
        "credential": "PHD, LP, HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WI",
            "license": "3593",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "6286",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301019175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306131636",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "MISSION",
            "credential": "PHD, LP, HSPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin P Wilson, MSW
• Mary Wilson
• Michael Wilson
• Michael Paul Wilson, PHARMD
• Nathaniel Julian Wilson
• Phanitra Nicole Wilson, LPN
• Takarra Wilson, LMSW
• Theresa Ann Wilson
• Lance Wimberly, LMSW
• Diane Kay Windischman, LMSW

• Clinical Neuropsychologist in Lansing, MI
• Providers in Lansing, MI by specialty
• Clinical Neuropsychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.