Individual provider Active NPI

Toyah Wilson, PSY.D.

  • Clinical Psychologist
  • Schaumburg, IL
National Provider Identifier
1811040496
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.006891 Issued in IL
Practice address
1305 Remington Rd
Suite T
Schaumburg, IL 60173-4833
Phone
(630) 723-9361
Fax
(847) 519-9089
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.006891 IL Primary

Addresses

Primary practice location

1305 Remington Rd
Suite T
Schaumburg, IL 60173-4833

Mailing address

1305 Remington Rd
Suite T
Schaumburg, IL 60173-4833
Phone (630) 723-9361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071.006891ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Leaf Counseling and Wellness, LLC Clinical CurrentSince Aug 16, 2020 Accepting new patients
Dr. Amy D. Miller and Associates, Inc. Clinical PastSince Jan 1, 2005 Accepting new patients

Locations

1305 Remington Rd
Ste T
Schaumburg, IL 60173
Phone (847) 519-7770

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1811040496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 REMINGTON RD",
            "address_2": "SUITE T",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734833",
            "telephone_number": "630-723-9361",
            "fax_number": "847-519-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 REMINGTON RD",
            "address_2": "SUITE T",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734833",
            "telephone_number": "630-723-9361",
            "fax_number": "847-519-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TOYAH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.006891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.