John W. Wilson, PSYD, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY003201 Issued in GA

Legal business name

JOHN W. WILSON, PSYD, LLC

Practice address

3115 Roswell Rd
Suite 201
Marietta, GA 30062-7605

Phone

(404) 246-1257

NPI assigned

Dec 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John Wesley Wilson Jr., PSYDNPI 1730345612

Title

Owner/Manager

Phone

(404) 246-1257

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.

• John Wesley Wilson Jr., PSY.D.

  • Clinical Psychologist
  • Marietta, GA
  • NPI 1730345612
  NPD (past) Authorized official

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1508195504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 ANNWICKS DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625407",
            "telephone_number": "404-246-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 ROSWELL RD",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627605",
            "telephone_number": "404-246-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. WILSON, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "404-246-1257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "PSY003201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Joel, MD
• Marlys Joel, CSA
• John D. Miller, O.D.,P.C.
• John H. Taylor, D.M.D. P.C.
• John M. Doris,D.D.S.,P.a.
• Mathew M. John, D.P.M
• Stephen Mammoottil John, O.D.
• Jennifer Christine Johnon, PHARMD
• Sarah Gardiner Johns, MS, ATR-BC, LPC
• Johnson Ferry Dentistry, PC

• Community/Behavioral Health Agency in Marietta, GA
• Providers in Marietta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.