Organization Active NPI

Ann Wilson, Psy.D. PC

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1497104103
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36477 Issued in TX
Legal business name
ANN WILSON, PSY.D. PC
Practice address
2901 Wilcrest Dr
Houston, TX 77042-3399
Phone
(713) 300-0713
NPI assigned
Jun 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Dr. Ann Marie Wilson, PSY.D.
Title
Owner
Phone
(832) 919-5732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 36477 TX Primary

Addresses

Primary practice location

2901 Wilcrest Dr
Houston, TX 77042-3399

Mailing address

PO Box 173
Jerome, AZ 86331-0173
Phone (832) 919-5732

Other practice location 1

9911 Sterling Village Dr
Rosharon, TX 77583-0017
Phone (713) 300-0713

Other practice location 2

679 Verde Avenue
Jerome, AZ 86331-0173
Phone (713) 300-0713

National Provider Directory

National Provider Directory

Locations

2901 Wilcrest Dr
Houston, TX 77042

8122 Spring Cypress Rd
Spring, TX 77379
Phone (281) 210-6677

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1497104103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "JEROME",
            "state": "AZ",
            "postal_code": "863310173",
            "telephone_number": "832-919-5732",
            "fax_number": "832-583-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423399",
            "telephone_number": "713-300-0713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9911 Sterling Village Dr",
            "address_purpose": "LOCATION",
            "city": "Rosharon",
            "state": "TX",
            "postal_code": "775830017",
            "country_code": "US",
            "telephone_number": "713-300-0713",
            "fax_number": "832-583-0012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "679 Verde Avenue",
            "address_purpose": "LOCATION",
            "city": "Jerome",
            "state": "AZ",
            "postal_code": "863310173",
            "country_code": "US",
            "telephone_number": "713-300-0713",
            "fax_number": "832-583-0012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANN WILSON, PSY.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-919-5732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.