Active NPI
Erin Wilson, M.S. SP. ED.
- Developmental Therapist
- Syracuse, NY
National Provider Identifier
1992163976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 1925853
- Practice address
- 1045 James St
Syracuse, NY 13203-2730 - Phone
- (315) 425-1004
- NPI assigned
- Feb 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 1925853 | NY | Primary |
Addresses
Primary practice location
1045 James St
Syracuse, NY 13203-2730
Mailing address
5054 Homeview Dr
Liverpool, NY 13088-5900
Phone (516) 578-0300
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1925853 | NY | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1992163976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5054 HOMEVIEW DR",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130885900",
"telephone_number": "516-578-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 JAMES ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032730",
"telephone_number": "315-425-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ERIN",
"credential": "M.S. SP. ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-04",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NY",
"license": "1925853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.