DR. CONNIE J. WILSON PSY.D.
NPI 1194925420
Psychologist - Clinical in Visalia, CA

Q: What is Connie Wilson's NPI number?

The NPI number for Connie Wilson is 1194925420. It was assigned to this individual provider in the NPPES registry on July 24, 2007.

Q: What is Connie Wilson's specialty?

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

Q: Is Connie Wilson enrolled in Medicare?

No. Connie Wilson has opted out of Medicare through July 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Connie Wilson was last updated on April 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 July 24, 2007Opted out of Medicare · through Jul 25, 2027

720 W CENTER AVE STE C, VISALIA, CA 93291(559) 733-4566(559) 733-4566 Get Directions Write a Review

NPPES record last updated: April 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Connie J. Wilson Psy.d. NPPES

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

DR. CONNIE J. WILSON PSY.D. (NPI 1194925420) is an individual clinical provider in Visalia, California, licensed in California (PSY 18473) and active in the NPI registry since July 2007. She has opted out of Medicare through July 25, 2027.

NPPES Registry Identity

NPI1194925420

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. CONNIE J. WILSONCredential: PSY.D.

Location Address720 W CENTER AVE STE CVisalia, CA 93291-6047

Mailing Address720 W Center Ave Ste CVisalia, CA 93291-6047 · (559) 733-4566 · Fax (559) 733-4566

Phone(559) 733-4566

Fax(559) 733-4566

Sole ProprietorYes

Enumeration DateJuly 24, 2007

Last NPPES UpdateApril 29, 2010

✔ NPI 1194925420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY 18473

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.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY 18473 (CA)

720 W CENTER AVE STE C, Visalia, CA 93291

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Connie J. Wilson Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 25, 2023 through July 25, 2027.

Opt-Out Effective DateJuly 25, 2023

Opt-Out In Effect ThroughJuly 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93291 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

$176.60 typical visit price

range $58.87 – $176.60

Typical copayment $44.15 (range $14.71 – $44.15)

Most-billed visit code 99205

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

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 Connie Wilson's NPI number?

The NPI number for Connie Wilson is 1194925420. It was assigned to this individual provider in the NPPES registry on July 24, 2007.

Where is Connie Wilson located?

Connie Wilson practices at 720 W Center Ave Ste C, Visalia, CA 93291. The listed phone number is (559) 733-4566.

What is Connie Wilson's specialty?

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

Is Connie Wilson enrolled in Medicare?

No. Connie Wilson has opted out of Medicare through July 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Connie Wilson was last updated on April 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.