NPIMap

Organization Active NPI

Dr. Dennis W. Wilson

Doing business as Comprehensive Mental Health Services

  • Clinical Psychologist
  • Murfreesboro, TN
National Provider Identifier
1801832365
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P0000001010 Issued in TN
Legal business name
DR. DENNIS W. WILSON
Doing business as
Comprehensive Mental Health Services
Practice address
1784 W Northfield Blvd
#306
Murfreesboro, TN 37219-1702
Phone
(731) 431-0609
Fax
(731) 426-1040
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dennis Wayne Wilson, PH.D.NPI 1780625202
Title
Owner
Phone
(731) 431-0609

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X P0000001010 TN Primary

Addresses

Primary practice location

1784 W Northfield Blvd
#306
Murfreesboro, TN 37219-1702

Mailing address

1784 W Northfield Blvd
#306
Murfreesboro, TN 37219-1702
Phone (731) 431-0609

Other identifiers 1

IdentifierTypeStateIssuer
3733574MedicaidTN

Other names 1

  • Comprehensive Mental Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

36 Brentshire Sq
Jackson, TN 38305
Phone (501) 664-1717

1784 W Northfield Blvd
Murfreesboro, TN 37129
Phone (615) 812-7131

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801832365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 W NORTHFIELD BLVD",
            "address_2": "#306",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "372191702",
            "telephone_number": "731-431-0609",
            "fax_number": "731-426-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 W NORTHFIELD BLVD",
            "address_2": "#306",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "372191702",
            "telephone_number": "731-431-0609",
            "fax_number": "731-426-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DENNIS W. WILSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-431-0609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000001010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3733574",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.