Individual provider Active NPI

Alison Jane Wilson, PH.D.

  • Clinical Psychologist
  • Centennial, CO
National Provider Identifier
1528078730
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3274 Issued in CO
Practice address
9137 E Mineral Cir
Ste 240
Centennial, CO 80112-3423
Phone
(720) 383-0896
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 31157 TX
Clinical Psychologist 103TC0700X 3274 CO Primary

Addresses

Primary practice location

9137 E Mineral Cir
Ste 240
Centennial, CO 80112-3423

Mailing address

9137 E Mineral Cir
Ste 240
Centennial, CO 80112-3423
Phone (720) 383-0869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110527000408 CO Practitioner - Clinical Psychologist 4880623735 Practice locations: Englewood, CO; Centennial, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10303 E Dry Creek Rd
Suite 111
Englewood, CO 80112-1583
Phone (720) 383-0869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3274COMDProfessional Counselor
31157TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cohen Associates, P. a. Past Accepting new patients
Alison J. Wilson, PH.D. Clinical PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1528078730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9137 E MINERAL CIR",
            "address_2": "STE 240",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123423",
            "telephone_number": "720-383-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9137 E MINERAL CIR",
            "address_2": "STE 240",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123423",
            "telephone_number": "720-383-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALISON",
        "middle_name": "JANE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31157",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.