Active NPI
Delta Psychological Collective PLLC
- Clinical Psychologist
- Paducah, KY
National Provider Identifier
1558282152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.