Kimberlee Van Wilson, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

5840 Issued in AZ

Practice address

1500 N Priest Dr # 109
Tempe, AZ 85288-1213

Phone

(702) 589-4871

Fax

(702) 589-4872

NPI assigned

Jul 17, 2011

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

Medicare fee-for-service enrollment

Enrolled in AZ, CA, WA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Psychiatry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Health Group Providers LLCGroup PAC ID 9335430693, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwilson155606@direct.integrisok.com

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.

• Health Group Providers, LLC

  • Psychiatry Physician
  • Tempe, AZ
  • NPI 1932560729
  Medicare reassignment Care Compare group NPD
• Harbor Youth and Family Counseling

  • Mental Health Counselor
  • Tukwila, WA
  • NPI 1205466265
  Medicare reassignment NPD
• Traditions Psychiatry Group, P.C

  • Psychiatry Physician
  • Santa Rosa, CA
  • NPI 1083802979
  Medicare reassignment NPD
• Behavioral Health Solutions of Arizona PLLC

  • Psychiatry Physician
  • Tempe, AZ
  • NPI 1265357495
  NPD (past)
• Arcadia Trails Center for Addiction Recovery

  • Case Manager/Care Coordinator
  • Edmond, OK
  • NPI 1811623747
  NPD (past)
• Arcadia Trails Integris Center for Addiction Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Edmond, OK
  • NPI 1548727209
  NPD (past)

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

{
    "created_epoch": "1310860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1306134929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N PRIEST DR # 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852881213",
            "telephone_number": "702-589-4871",
            "fax_number": "702-589-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N PRIEST DR # 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852881213",
            "telephone_number": "702-589-4871",
            "fax_number": "702-589-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KIMBERLEE",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-17",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "AZ",
            "license": "5840",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "5840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jane Wilson
• George Wilson
• Heather Wilson
• Katharine Elizabeth Wilson, FNP-C
• Katherine K. Wilson, PH.D.
• Kristen Karol Wilson, PMHNP
• Maria Karla Wilson
• Robert W Wilson, LCSW
• Sarah Wilson, RBT
• Stephen C Wilson, PMHNP

• Psychiatry Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.