DR. KENNETH I WILSON PSY.D.
NPI 1194785287
Psychologist - Clinical in Woburn, MA

Q: What is Kenneth Wilson's NPI number?

The NPI number for Kenneth Wilson is 1194785287. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Kenneth Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Wilson was last updated on December 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment

12 ALFRED ST STE 200, WOBURN, MA 01801(781) 646-0500(781) 646-7130 Get Directions Write a Review

NPPES record last updated: December 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kenneth I Wilson Psy.d. NPPES

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

DR. KENNETH I WILSON PSY.D. (NPI 1194785287) is an individual clinical provider in Woburn, Massachusetts, licensed in Massachusetts (3882) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Arlington, and is a graduate of Hahnemann University College Of Medicine (1984).

NPPES Registry Identity

NPI1194785287

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KENNETH I WILSONCredential: PSY.D.

Location Address12 ALFRED ST STE 200Woburn, MA 01801-1915

Mailing Address12 Alfred St Ste 200Woburn, MA 01801-1915 · (781) 646-0500 · Fax (781) 646-7130

Phone(781) 646-0500

Fax(781) 646-7130

Sole ProprietorNo

Medical School CMSHahnemann University College Of MedicineGraduated 1984

Enumeration DateMarch 24, 2006

Last NPPES UpdateDecember 20, 2020

NPPES CertifiedDecember 20, 2020

✔ NPI 1194785287 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 MA · 3882

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.

12 ALFRED ST STE 200, Woburn, MA 01801

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Secondary Practice Location 1

Location 122 Mill St, Suite 004Arlington, MA 02476-4784 · Phone (781) 646-0500 ext. 231 · Fax (781) 646-7130

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan.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

Dr. Kenneth I Wilson Psy.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 ID9739173618

PECOS Enrollment IDI20040413001076

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, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

366 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$189.86 typical visit price

range $63.72 – $189.86

Typical copayment $47.46 (range $15.93 – $47.46)

Most-billed visit code 99205

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

DR. ELI SPECTOR PSY.D.

Psychologist (Clinical)