Organization Active NPI

Dr. Sharon R. Wilson Psychological Services

  • Clinical Psychologist
  • Pittsburgh, PA
National Provider Identifier
1851576094
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS005922L Issued in PA
Legal business name
DR. SHARON R. WILSON PSYCHOLOGICAL SERVICES
Practice address
485 Mansfield Ave
Pittsburgh, PA 15205-4344
Phone
(412) 922-1566
Fax
(412) 922-3516
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Ms. Bonnie R Paul
Title
Office MGR
Phone
(412) 922-1566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS005922L PA Primary

Addresses

Primary practice location

485 Mansfield Ave
Pittsburgh, PA 15205-4344

Mailing address

485 Mansfield Ave
Pittsburgh, PA 15205-4344
Phone (412) 922-1566

Other identifiers 1

IdentifierTypeStateIssuer
1318479OtherPAHIGHMARK BC/BS

National Provider Directory

National Provider Directory

Locations

485 Mansfield Ave
Pittsburgh, PA 15205
Phone (412) 922-1566

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1851576094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 MANSFIELD AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152054344",
            "telephone_number": "412-922-1566",
            "fax_number": "412-922-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 MANSFIELD AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152054344",
            "telephone_number": "412-922-1566",
            "fax_number": "412-922-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHARON R. WILSON PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "412-922-1566",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005922L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "1318479",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.