Melinda J. Wilson, MELINDA J. WILSON

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

1000 E Mesquite St
Gilbert, AZ 85296-1814

Phone

(480) 813-1240

Fax

(480) 813-7387

NPI assigned

Jan 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Melinda J. Colburn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790831931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 E BROWN RD",
            "address_2": "#118",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054437",
            "telephone_number": "480-282-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MESQUITE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961814",
            "telephone_number": "480-813-1240",
            "fax_number": "480-813-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "J. WILSON",
        "first_name": "MELINDA",
        "credential": "MELINDA J. WILSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "J. COLBURN",
            "credential": "ED.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• School Psychologist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• School Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.