Tamera Jeanne Wilson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20022 Issued in CA

Practice address

28700 Bouquet Canyon Rd
Santa Clarita, CA 91390-1220

Phone

(661) 296-8500

NPI assigned

Nov 27, 2006

Sex

Female

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

State licenses

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881760460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28700 BOUQUET CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913901220",
            "telephone_number": "661-296-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28700 BOUQUET CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913901220",
            "telephone_number": "661-296-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TAMERA",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Williams, M.D.
• Xavier Anthony Williams
• Jeffrey Scott Willis, D.C.
• Michal Carolyn Wilson, PSY. D.
• Sydney Elizabeth Wilson
• Betzabe Sonaly Wintermute, SA-C
• Kristina Wittig, MD
• Yael Amy Wolf, MA, PPS
• Elisabeth Sarah Wolff
• Women Elite Care Inc

• Clinical Psychologist in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Clinical Psychologist in California

• 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.