Individual provider Active NPI

Rick Wilson, PHD

  • Clinical Psychologist
  • Harbor City, CA
National Provider Identifier
1881690972
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY8321 Issued in CA
Practice address
1647 Anaheim St
Harbor City, CA 90710-3213
Phone
(310) 534-5590
Fax
(310) 534-5591
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PSY8321 CA Primary

Addresses

Primary practice location

1647 Anaheim St
Harbor City, CA 90710-3213

Mailing address

1647 Anaheim St
Harbor City, CA 90710-3213
Phone (310) 534-5590

Other identifiers 1

IdentifierTypeStateIssuer
PSY8321OtherCAPSYCHOLOGIST

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY8321CAMDClinical Psychologist
1035NMMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Roberts Medical Psychology, Inc. Clinical PastSince Feb 1, 2014 Accepting new patients
Neuromental Health Services, Inc Past Accepting new patients
Western Health Community Clinic Past Accepting new patients
Western Health Community Clinic PastSince Aug 13, 2023 Accepting new patients

Organizations & group practices 4

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881690972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 ANAHEIM ST",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907103213",
            "telephone_number": "310-534-5590",
            "fax_number": "310-534-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 ANAHEIM ST",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907103213",
            "telephone_number": "310-534-5590",
            "fax_number": "310-534-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RICK",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "PSY8321",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.