Robert Storey Wilson Sr., D.O.

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

E4770 Issued in TX

Practice address

1100 N McCart St
Stephenville, TX 76401-2430

Phone

(254) 968-2907

NPI assigned

Oct 27, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Summer Sky, Inc.

  • Substance Abuse Rehabilitation Facility
  • Stephenville, TX
  • NPI 1881791168
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801972385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N MCCART ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764012430",
            "telephone_number": "254-968-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N MCCART ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764012430",
            "telephone_number": "254-968-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ROBERT",
        "middle_name": "STOREY",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "TX",
            "license": "E4770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan White
• Whitney Nicole White, MS., NCC., LPC
• Whitney S Whitford, ATC, LAT
• Madison Wilkerson
• Misty Wilson, SLP
• Winnie-Stowell Hospital District
• Brandi Wood, PT
• Sarah Yarborough, SLP
• Timothy Zboril, M.D.

• Addiction Psychiatry Physician in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Addiction Psychiatry Physician in Texas

• 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.