Active NPI
Donna Catherine Wilson, ED.D.
- Psychologist
- San Antonio, TX
National Provider Identifier
1679548408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2-3586
- Practice address
- 10010 Rogers Xing
Ste 200
San Antonio, TX 78251-4674 - Phone
- (210) 902-9790
- Fax
- (210) 855-4408
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2-3586 | TX | Primary |
Addresses
Primary practice location
10010 Rogers Xing
Ste 200
San Antonio, TX 78251-4674
Mailing address
5419 Dragon Weed
San Antonio, TX 78253-6379
Phone (210) 902-9790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2-3586 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1679548408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5419 DRAGON WEED",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782536379",
"telephone_number": "210-902-9790",
"fax_number": "210-855-4408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10010 ROGERS XING",
"address_2": "STE 200",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782514674",
"telephone_number": "210-902-9790",
"fax_number": "210-855-4408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DONNA",
"middle_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "2-3586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.