Active NPIIndividual provider

Dr. Jillian B Wilson, PSYD, BCBA-D

Psychologist, Clinical Child & Adolescent in Newton, Massachusetts

NPI Number1063886877
Practice location
1320 Centre St Ste 106, Newton, MA 02459-2488
Fax
—
Last updated
August 5, 2024

Jillian B. Wilson is a Psychologist, Clinical Child & Adolescent based in Newton, MA. Jillian B. Wilson practices in Newton, MA and has the professional credentials of PSYD, BCBA-D. The NPI Number for Jillian B. Wilson is 1063886877 and holds a License No. 1936 (MA). The current practice location address for Jillian B. Wilson is 1320 Centre St Ste 106, Newton, MA 02459-2488 and can be reached out via phone at 617-202-3330.

Provider Profile Details

NPI Number
1063886877
Provider Name
Jillian B. Wilson
Credential
PSYD, BCBA-D
Provider Entity Type
Individual
Gender
Female
Address
1320 Centre St Ste 106, Newton, MA 02459-2488
Phone Number
617-202-3330
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Sole Proprietor
No
Provider Enumeration Date
November 17, 2015
Last Update Date
August 5, 2024
Certification Date
August 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1320 Centre St Ste 106
Newton, MA 02459-2488
City
Newton
Zip
02459-2488
Phone Number
617-202-3330
Newton, MA 02459Get directions →

Provider Business Mailing Address Details

Address
1320 Centre St Ste 106
Newton, MA 02459-2488
City
Newton
State
MA
Zip
02459-2488

License Information

License Number (1)
1936
License State (1)
MA
Taxonomy (1)
Behavior Analyst · 103K00000X
License Number (2)
PY10898
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jillian B Wilson, PSYD, BCBA-D?

The NPI number of Dr. Jillian B Wilson, PSYD, BCBA-D is 1063886877. It was assigned on November 17, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Jillian B Wilson, PSYD, BCBA-D?

Dr. Jillian B Wilson, PSYD, BCBA-D is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in MA under license number 1936.

Where does Dr. Jillian B Wilson, PSYD, BCBA-D practice?

The practice location is 1320 Centre St Ste 106, Newton, MA 02459-2488. The office can be reached at 617-202-3330 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063886877 directly on the NPPES registry website.

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