Organization Active NPI

Delta Psychological Collective PLLC

  • Clinical Psychologist
  • Paducah, KY
National Provider Identifier
1558282152
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DELTA PSYCHOLOGICAL COLLECTIVE PLLC
Practice address
3121 Broadway St Ste 106
Paducah, KY 42001-4313
Phone
(270) 201-5139
NPI assigned
Jul 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Dr. Ashley MB Wilson, PSYD
Title
Owner
Phone
(630) 615-0605

Specialties & licenses 1

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

Addresses

Primary practice location

3121 Broadway St Ste 106
Paducah, KY 42001-4313

Mailing address

3121 Broadway St Ste 106
Paducah, KY 42001-4313
Phone (270) 201-5139

National Provider Directory

National Provider Directory

Locations

3121 Broadway St
Ste 106
Paducah, KY 42001

NPI Registry JSON

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1558282152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 BROADWAY ST STE 106",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014313",
            "telephone_number": "270-201-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 BROADWAY ST STE 106",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014313",
            "telephone_number": "270-201-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA PSYCHOLOGICAL COLLECTIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "MB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-615-0605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.