1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

KELLY MARIE WILSON M.A.
NPI 1093383390
Student in an Organized Health Care Education/Training Program in New York, NY

Active since June 14, 2021
125 W 72ND ST RM 4R, NEW YORK, NY 10023(917) 924-2621 Get Directions Write a Review

NPPES record last updated: January 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2022, Jun 14, 2021 (2 updates tracked since 2021).

About Kelly Marie Wilson M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MARIE WILSON M.A. (NPI 1093383390) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1093383390
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY MARIE WILSONCredential: M.A.
Location Address125 W 72ND ST RM 4RNew York, NY 10023-3278
Mailing Address125 W 72nd St Rm 4rNew York, NY 10023-3278
Phone(917) 924-2621
Sole ProprietorNo
Enumeration DateJune 14, 2021
Last NPPES UpdateJanuary 8, 20222 updates tracked since enumeration
NPPES CertifiedNovember 12, 2021
✔ NPI 1093383390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
125 W 72ND ST RM 4R, New York, NY 10023
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BIANCA LEVY PHD
Psychologist (Clinical)
125 W 72ND ST RM 4R
NEW YORK, NY 10023
New York County (646) 397-8617
ROHINI BAGRODIA
Student in an Organized Health Care Education/Training Program
125 W 72ND ST RM 4R
NEW YORK, NY 10023
New York County (310) 560-6599
KATHRYN MARY GRAHAM PHD
Psychologist (Clinical)
125 W 72ND ST RM 4R
NEW YORK, NY 10023
New York County (917) 972-5671

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Wilson's NPI number?

The NPI number for Kelly Wilson is 1093383390. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Kelly Wilson located?

Kelly Wilson practices at 125 W 72nd St Rm 4R, New York, NY 10023. The listed phone number is (917) 924-2621.

What is Kelly Wilson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kelly Wilson was last updated on January 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.