Dennis Wayne Wilson, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P0000001010 Issued in TN

Practice address

1020 Ellington Dr
Milan, TN 38358-3150

Phone

(731) 431-0609

NPI assigned

Jun 8, 2006

Last updated

Jun 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Clinical Psychologist

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dennis W Wilson PHD PLLC

  • Clinical Psychologist
  • Milan, TN
  • NPI 1356533137
  Medicare reassignment NPD Authorized official
• Dr. Dennis W. Wilson

  dba Comprehensive Mental Health Services

  • Clinical Psychologist
  • Murfreesboro, TN
  • NPI 1801832365
  NPD (past) Authorized official
• Dr. John E. Sawyer III

  dba Sawyer & Associates

  • Clinical Psychologist
  • Franklin, TN
  • NPI 1124063201
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1780625202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 BLACKMON STREET",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383556829",
            "telephone_number": "731-431-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 ELLINGTON DR",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383583150",
            "telephone_number": "731-431-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DENNIS",
        "middle_name": "WAYNE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000001010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36815541",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Weatherly, OTR
• Abigail Holladay Wells, DPT
• Chloe West, PTA
• Jake Wayne Whitby, D.C.
• Daniel Collin White, PT
• Jerry Paul Wilson, M.D.
• Kathleen Claire Wilson, M.S.,CCCSLP

• Clinical Psychologist in Milan, TN
• Providers in Milan, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.