Anabella Pavon Wilson, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Practice address

1601 23Rd Ave S
3Rd Floor
Nashville, TN 37212-3133

Phone

(615) 327-7009

Fax

(615) 343-4595

NPI assigned

Jul 25, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1508021965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 23RD AVE S",
            "address_2": "3RD FLOOR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123133",
            "telephone_number": "615-327-7009",
            "fax_number": "615-343-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 23RD AVE S",
            "address_2": "3RD FLOOR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123133",
            "telephone_number": "615-327-7009",
            "fax_number": "615-343-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANABELLA",
        "middle_name": "PAVON",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam K Wilson, NP
• Adrienne Wilson, LPC
• Alexandria M Wilson
• Amanda G Wilson, M.D.
• Amy Wilson, APRN, CPNP- PC/AC
• Andrea Cloninger Wilson, RDN
• Angie Gaw Wilson, MSN
• Anna Reiff Wilson, APRN
• Anthony Wilson
• Asha Wilson, FNP

• Clinical Child & Adolescent Psychologist in Nashville, TN
• Providers in Nashville, TN by specialty
• Clinical Child & Adolescent Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.