STANLEY D WILSON PHD
NPI 1104942374
Psychologist in Everett, WA

Active since March 21, 2007PECOS EnrolledAccepts Medicare Assignment
1814 105TH ST SE, SUITE 101, EVERETT, WA 98208(425) 385-8337(425) 385-3748 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stanley D Wilson Phd NPPES

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

STANLEY D WILSON PHD (NPI 1104942374) is an individual psychologist in Everett, Washington, licensed in Washington (PY00000688) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1104942374
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameSTANLEY D WILSONCredential: PHD
Location Address1814 105TH ST SE, SUITE 101Everett, WA 98208-4816
Mailing Address1814 105th St Se, Suite 101Everett, WA 98208-4816 · (425) 385-8337 · Fax (425) 385-3748
Fax(425) 385-3748
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateMarch 21, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104942374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PY00000688
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1814 105TH ST SE, Everett, WA 98208

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stanley D Wilson Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082861786
PECOS Enrollment IDI20120831000591
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
167 services15 patients

Other Providers at the Same Location NPPES 5

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

Social Worker (Clinical)
1814 105TH ST SE
EVERETT, WA 98208
Social Worker (Clinical)
1814 105TH ST SE
EVERETT, WA 98208
Nurse Practitioner
1814 105TH ST SE
EVERETT, WA 98208
Marriage & Family Therapist
1814 105TH ST SE
EVERETT, WA 98208
Counselor (Mental Health)
1814 105TH ST SE
EVERETT, WA 98208

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 Stanley Wilson's NPI number?

The NPI number for Stanley Wilson is 1104942374. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Stanley Wilson located?

Stanley Wilson practices at 1814 105th St SE Suite 101, Everett, WA 98208. The listed phone number is (425) 385-8337.

What is Stanley Wilson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Stanley Wilson enrolled in Medicare?

Yes. Stanley Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stanley Wilson accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Stanley Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stanley Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.