Derek P Wilson, MED
Counselor, Professional in Plantsville, Connecticut
1861173627- Practice location
- 791 S Main St, Plantsville, CT 06479-1519
- Phone
- 860-378-8090
- Fax
- —
- Last updated
- July 10, 2025
Derek Payson Wilson is a Counselor, Professional based in Plantsville, CT. Derek Payson Wilson practices in Plantsville, CT and has the professional credentials of MED. The NPI Number for Derek Payson Wilson is 1861173627 and holds a License No. 8592 (CT). The current practice location address for Derek Payson Wilson is 791 S Main St, Plantsville, CT 06479-1519 and can be reached out via phone at 860-378-8090.
Provider Profile Details
- NPI Number
- 1861173627
- Provider Name
- Derek Payson Wilson
- Credential
- MED
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 791 S Main St, Plantsville, CT 06479-1519
- Phone Number
- 860-378-8090
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 26, 2023
- Last Update Date
- July 10, 2025
- Certification Date
- July 9, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 791 S Main St
Plantsville, CT 06479-1519 - City
- Plantsville
- State
- Connecticut
- Zip
- 06479-1519
- Phone Number
- 860-378-8090
Provider Business Mailing Address Details
- Address
- 791 S Main St
Plantsville, CT 06479-1519 - City
- Plantsville
- State
- CT
- Zip
- 06479-1519
- Phone Number
- 860-378-8090
License Information
- License State (1)
- MA
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- 8592
- License State (2)
- CT
- Taxonomy (2)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Derek P Wilson, MED?
The NPI number of Derek P Wilson, MED is 1861173627. It was assigned on July 26, 2023 and is currently active in the NPPES registry.
What is the specialty of Derek P Wilson, MED?
Derek P Wilson, MED is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 8592.
Where does Derek P Wilson, MED practice?
The practice location is 791 S Main St, Plantsville, CT 06479-1519. The office can be reached at 860-378-8090 (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 1861173627 directly on the NPPES registry website.