R.L. Wilson, M.D., PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

50003038A Issued in IN

Legal business name

R.L. WILSON, M.D., PC

Practice address

828 E Colfax Ave
South Bend, IN 46617-2804

Phone

(574) 233-5858

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Rickey L Wilson, M.D.

Title

President

Phone

(574) 233-5858

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1962623249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 E COLFAX AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172804",
            "telephone_number": "574-233-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 E COLFAX AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172804",
            "telephone_number": "574-233-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.L. WILSON, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RICKEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-233-5858",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "50003038A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monee Quast, MA
• Katelynne Quick, RBT
• Melissa Christine Quimby, NP
• Jacqueline Mary Quinn-Tan, PSY.D.
• Cheryl Quiogue-Hunt, LSW
• Kelly Gail Racek, PHARMD
• Rachel Mickelson
• Joyce Ellen Racz, MSN, FNP-C, RN
• Radiation Oncology Associates of Michiana PC
• Ashlee Lauren Radzikowski, LCSW

• Psychiatry Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.