Shirley a Wilson

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SHIRLEY A WILSON

Practice address

7160 Tchulahoma Rd # B
Ste 1
Southaven, MS 38671-9266

Phone

(662) 349-6658

Fax

(662) 349-6856

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shirley Ann Wilson, PHD

Title

Psychologist Owner

Phone

(662) 349-6658

Specialties & licenses 3

Addresses

Other names 1

• DeSoto Behavioral Health Doing business as

Locations

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1356548549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 TCHULAHOMA RD # B",
            "address_2": "STE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719266",
            "telephone_number": "662-349-6658",
            "fax_number": "662-349-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 TCHULAHOMA RD # B",
            "address_2": "STE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719266",
            "telephone_number": "662-349-6658",
            "fax_number": "662-349-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY A WILSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PSYCHOLOGIST OWNER",
        "authorized_official_telephone_number": "662-349-6658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MS",
            "license": null,
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeSoto Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eleanor Sherfey, M.A., CF-SLP
• Henry Lowell Sherman, M.D.
• Celia Shields
• Shing Dental Group, PLLC
• Devyn Lou Shing, DMD
• Amber Kaitlyn Shirley, DO
• Gwendolyn Pitcock Shirley, FNP
• Sherlean D Shugars, NP
• Shehbaz Syed Shukoor, M.D.
• Kimberly Shea Shurden, PHARMD

• Psychologist in Southaven, MS
• Providers in Southaven, MS by specialty
• Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.