Katrijn Seynnaeve Wilson, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

P8432 Issued in TX

Practice address

5424 W Highway 290 Ste 108
Austin, TX 78735-8827

Phone

(512) 430-1130

Fax

(512) 677-6806

NPI assigned

Jul 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Greater Austin Psychiatry & Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
  • NPI 1902755176
  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861655540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 W HIGHWAY 290 STE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358827",
            "telephone_number": "512-430-1130",
            "fax_number": "512-677-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 W HIGHWAY 290 STE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358827",
            "telephone_number": "512-430-1130",
            "fax_number": "512-677-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KATRIJN",
        "middle_name": "SEYNNAEVE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD442853",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "P8432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Wilson, RD
• Joy Denise Wilson, M.D.
• Kara Wilson, RD
• Kate Cherie Wilson, MS, RDN, LD
• Katlynne Wilson
• Kayton Jonathan Riley Wilson, DO
• Kelly M Wilson, M.A., CCC-SLP
• Kimberly Brijett Wilson, L.P.C.
• Kutia T. Wilson, RN
• Lauren Wilson, M.D.

• Child & Adolescent Psychiatry Physician in Austin, TX
• Providers in Austin, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.