Joselyn Wilson, PSYCHOLOGY

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

793 Tennessee St
Bolivar, TN 38008-2441

Phone

(731) 228-9068

Fax

(901) 425-9773

NPI assigned

Jan 20, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Brown Behavioral Health Services

  • Rural Health Clinic/Center
  • Bolivar, TN
  • NPI 1699416636

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1487465282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 TENNESSEE ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380082441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 TENNESSEE ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380082441",
            "telephone_number": "731-228-9068",
            "fax_number": "901-425-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOSELYN",
        "credential": "PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@brownbehavioral.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "793 Tennessee St",
            "city": "Bolivar",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380082441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bruce Wilks, LADAC
• Emylee Ann Williams, OTR/L
• Kayla Williams, APRN, DNP, PMHNP-BC
• Elizabeth Ashley Willis, PHARMD
• Tanya S Willis
• Mary Wilson
• Thomas Gregory Wilson, DDS
• Sherwin A Yaffe, M.D.
• Yn Pakkala M.D, P.C
• Amanda Megan Young Nibber, LPCC

• Counseling Psychologist in Bolivar, TN
• Providers in Bolivar, TN by specialty
• Counseling Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.