DR. CHARLES JOSEPH WILSON ED.D.
NPI 1154438166
Psychologist in Blue Bell, PA

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
501 SKIPPACK PIKE, BLUE BELL, PA 19422(215) 542-1466(215) 643-0486 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Charles Joseph Wilson Ed.d. NPPES

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

DR. CHARLES JOSEPH WILSON ED.D. (NPI 1154438166) is an individual psychologist in Blue Bell, Pennsylvania, licensed in Pennsylvania (PS001278L) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1154438166
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. CHARLES JOSEPH WILSONCredential: ED.D.
Location Address501 SKIPPACK PIKEBlue Bell, PA 19422-2148
Mailing Address501 Skippack PikeBlue Bell, PA 19422-2148 · (215) 542-1466 · Fax (215) 643-0486
Fax(215) 643-0486
Sole ProprietorYes
Medical School CMSOtherGraduated 1973
Enumeration DateAugust 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154438166 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 PA · PS001278L
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.
501 SKIPPACK PIKE, Blue Bell, PA 19422

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles Joseph Wilson Ed.d. 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 ID2567649924
PECOS Enrollment IDI20110613000034
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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
1055 E BALTIMORE PIKE STE 303
Media, PA 19063
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 353 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Charles Wilson's NPI number?

The NPI number for Charles Wilson is 1154438166. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Charles Wilson located?

Charles Wilson practices at 501 Skippack Pike, Blue Bell, PA 19422. The listed phone number is (215) 542-1466.

What is Charles Wilson's specialty?

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

Is Charles Wilson enrolled in Medicare?

Yes. Charles 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.

Which organization bills Medicare for Charles Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Wilson reassigns Medicare benefits to Delaware County Professional Services, Inc (Media, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles 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.