DR. JEFFREY GRANT WILSON PH.D.
NPI 1245277979
Psychologist - Clinical in Mission Viejo, CA

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
27725 SANTA MARGARITA PKWY, SUITE 215, MISSION VIEJO, CA 92691(949) 272-3870(949) 951-2802 Get Directions Write a Review

NPPES record last updated: November 21, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jeffrey Grant Wilson Ph.d. NPPES

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

DR. JEFFREY GRANT WILSON PH.D. (NPI 1245277979) is an individual clinical provider in Mission Viejo, California, licensed in California (PSY12832) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1245277979
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JEFFREY GRANT WILSONCredential: PH.D.
Location Address27725 SANTA MARGARITA PKWY, SUITE 215Mission Viejo, CA 92691-6704
Mailing Address27725 Santa Margarita Pkwy, Suite 215Mission Viejo, CA 92691-6704 · (949) 272-3870 · Fax (929) 951-2802
Fax(949) 951-2802
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJune 1, 2006
Last NPPES UpdateNovember 21, 2009
NPI 1245277979 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 CA · PSY12832
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.

27725 SANTA MARGARITA PKWY, Mission Viejo, CA 92691

Other Identifiers 3

Medicare UPINR16203
OtherW19141ACA · Medicare Group Id
Medicare ID-Type UnspecifiedWCP12832BCA

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. Jeffrey Grant Wilson Ph.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 ID6204869720
PECOS Enrollment IDI20050915000318
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 20

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

Dentist
27725 SANTA MARGARITA PKWY, SUITE 120
MISSION VIEJO, CA 92691
Chiropractor (Sports Physician)
27725 SANTA MARGARITA PKWY, SUITE 201
MISSION VIEJO, CA 92691
Dentist (General Practice)
27725 SANTA MARGARITA PKWY, STE 241
MISSION VIEJO, CA 92691
Speech-Language Pathologist
27725 SANTA MARGARITA PKWY, SUITE 221
MISSION VIEJO, CA 92691
Dentist (Orthodontics and Dentofacial Orthopedics)
27725 SANTA MARGARITA PKWY, SUITE 241
MISSION VIEJO, CA 92691
Physical Therapist
27725 SANTA MARGARITA PKWY
MISSION VIEJO, CA 92691
Internal Medicine
27725 SANTA MARGARITA PKWY, SUITE 220
MISSION VIEJO, CA 92691
Clinic/Center (Developmental Disabilities)
27725 SANTA MARGARITA PKWY, SUITE 221
MISSION VIEJO, CA 92691

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 Jeffrey Wilson's NPI number?

The NPI number for Jeffrey Wilson is 1245277979. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Jeffrey Wilson located?

Jeffrey Wilson practices at 27725 Santa Margarita Pkwy Suite 215, Mission Viejo, CA 92691. The listed phone number is (949) 272-3870.

What is Jeffrey Wilson's specialty?

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

Is Jeffrey Wilson enrolled in Medicare?

Yes. Jeffrey 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.

When was this NPI record last updated?

The NPPES record for Jeffrey Wilson was last updated on November 21, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.