Jean Pao Wilson, PH,D., LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JEAN PAO WILSON, PH,D., LLC

Practice address

247 Northampton St Ste 7
Easthampton, MA 01027-1052

Phone

(413) 307-4777

NPI assigned

Nov 15, 2019

Last updated

Nov 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jean Yun Pao Wilson, PH.D.

Title

Owner

Phone

(413) 307-4777

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jane Jagelman Hunter, PSY.D.

  • Clinical Psychologist
  • Easthampton, MA
  • NPI 1093783508
  NPD (past)

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1467097279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1016",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010275016",
            "telephone_number": "413-307-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 NORTHAMPTON ST STE 7",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271052",
            "telephone_number": "413-307-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN PAO WILSON, PH,D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "PAO WILSON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "YUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-307-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Bearss Ingram, MSW
• Integrity Care Associates
• Jamie Brelsford LLC
• Cathy Ann Jasienowski, R.N.
• Doris E Jasinski, M.A.,CCC-SLP
• Kanisha Jeantillorme
• Catherine Jenkins, MSW, LCSW
• Melinda Jenkins, PTA
• Shanealia Carmen Jernigan
• Arielle Jessop-Humpage, LMHC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Easthampton, MA
• Providers in Easthampton, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.