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DR. JENNIFER MARY WILSON PSYD
NPI 1114076460
Psychologist - Clinical in Rockford, IL

Active since January 09, 2007
5702 ELAINE DR, SUITE A, ROCKFORD, IL 61108(815) 601-3981(815) 399-1959 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jennifer Mary Wilson Psyd NPPES

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

DR. JENNIFER MARY WILSON PSYD (NPI 1114076460) is an individual clinical provider in Rockford, Illinois, licensed in Illinois (71007181) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1114076460
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JENNIFER MARY WILSONCredential: PSYD
Location Address5702 ELAINE DR, SUITE ARockford, IL 61108-2458
Mailing Address240 Walworth StSharon, WI 53585-9606 · (262) 337-1702
Phone(815) 601-3981
Fax(815) 399-1959
Sole ProprietorYes
Enumeration DateJanuary 9, 2007
Last NPPES UpdateOctober 8, 2015
✔ NPI 1114076460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 71007181
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5702 ELAINE DR, Rockford, IL 61108
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Other Providers at the Same Location NPPES 8

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

DR. JAMES D PARRISH LCPC
Counselor (Professional)
5702 ELAINE DR
ROCKFORD, IL 61108
Winnebago County (815) 229-7102
WILSON PSYCHOLOGICAL SERVICES INC
Psychologist (Clinical)
5702 ELAINE DR, SUITE A
ROCKFORD, IL 61108
Winnebago County (815) 601-3981
MARY GURNEY LCPC
Counselor (Mental Health)
5702 ELAINE DR, SUITE B
ROCKFORD, IL 61108
Winnebago County (815) 398-2877
MRS. DEBRA PRICHARD-HURT LCSW
Social Worker (Clinical)
5702 ELAINE DR
ROCKFORD, IL 61108
Winnebago County (815) 229-2397
MR. TERRY L MINNICK LCPC
Counselor (Professional)
5702 ELAINE DR
ROCKFORD, IL 61108
Winnebago County (815) 229-7102
ERIN K GRENKE LCPC
Counselor (Professional)
5702 ELAINE DR, SUITE A
ROCKFORD, IL 61108
Winnebago County (815) 977-9947
MR. JERALD RAY NORQUIST P.C.
Counselor (Professional)
5702 ELAINE DR
ROCKFORD, IL 61108
Winnebago County (815) 229-7102
DEBRA K. SCHWARZE COUNSELING INC.
Community/Behavioral Health
5702 ELAINE DR
ROCKFORD, IL 61108
Winnebago County (815) 229-7102

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 Jennifer Wilson's NPI number?

The NPI number for Jennifer Wilson is 1114076460. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Jennifer Wilson located?

Jennifer Wilson practices at 5702 Elaine Dr Suite A, Rockford, IL 61108. The listed phone number is (815) 601-3981.

What is Jennifer Wilson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Wilson was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.