Individual provider Active NPI

Jay Wiles, PSY.D.

  • Health Psychologist
  • Simpsonville, SC
National Provider Identifier
1952810525
Registry record updated Mar 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
License
0810005806 Issued in VA
Practice address
205 Bryce Cir Ste C
Simpsonville, SC 29681-4842
Phone
(864) 420-3605
NPI assigned
Sep 26, 2017
Last updated
Mar 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Psychologist 103TH0004X 0810005806 VA Primary

Addresses

Primary practice location

205 Bryce Cir Ste C
Simpsonville, SC 29681-4842

Mailing address

205 Bryce Cir Ste C
Simpsonville, SC 29681-4842
Phone (864) 420-3605

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
0810005806VAMDHealth Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Wellness and Performance, LLC. Health CurrentSince Apr 6, 2025 Accepting new patients

Locations

205 Bryce Cir
Ste C
Simpsonville, SC 29681
Phone (864) 331-9208

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1952810525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BRYCE CIR STE C",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814842",
            "telephone_number": "864-420-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BRYCE CIR STE C",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814842",
            "telephone_number": "864-420-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILES",
        "first_name": "JAY",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-26",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "VA",
            "license": "0810005806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2025; 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.