Individual provider Active NPI

Mary A Wilson, PHD

  • Psychologist
  • Topeka, KS
National Provider Identifier
1801109897
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2225 Issued in KS
Practice address
2601 SW 3Rd St Unit 1a
Topeka, KS 66606-2438
Phone
(785) 270-4630
Fax
(785) 270-4628
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2225 KS Primary

Addresses

Primary practice location

2601 SW 3Rd St Unit 1a
Topeka, KS 66606-2438

Mailing address

2601 SW 3Rd St Unit 1a
Topeka, KS 66606-2438
Phone (785) 270-4630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20140714001425 KS Practitioner - Clinical Psychologist 5294950960 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Oct 19, 2015 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Oct 19, 2015 Accepting new patients

Locations

823 SW Mulvane St
Lowr
Topeka, KS 66606
Phone (785) 368-0400

901 SW Garfield Ave
Topeka, KS 66606

3707 SW 6th Ave
Topeka, KS 66606
Phone (785) 270-4630

2601 SW 3rd St
Unit 1A
Topeka, KS 66606
Phone (785) 270-4630

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1801109897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 3RD ST UNIT 1A",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062438",
            "telephone_number": "785-270-4630",
            "fax_number": "785-270-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW 3RD ST UNIT 1A",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062438",
            "telephone_number": "785-270-4630",
            "fax_number": "785-270-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "2225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.