SAMANTHA L. WILSON PH.D.
NPI 1326290115
Psychologist in Brookfield, WI

Active since October 13, 2008PECOS Enrolled
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER, BROOKFIELD, WI 53005(262) 432-6600(262) 432-6604 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha L. Wilson Ph.d. NPPES

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

SAMANTHA L. WILSON PH.D. (NPI 1326290115) is an individual psychologist in Brookfield, Wisconsin, licensed in Wisconsin (2754) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326290115
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSAMANTHA L. WILSONCredential: PH.D.
Location Address13800 W NORTH AVE, CHILD DEVELOPMENT CENTERBrookfield, WI 53005-4977
Mailing Address13800 W North Ave, Child Development CenterBrookfield, WI 53005-4977 · (262) 432-6600 · Fax (262) 432-6604
Fax(262) 432-6604
Sole ProprietorNo
Enumeration DateOctober 13, 2008
Last NPPES UpdateOctober 18, 2012
✔ NPI 1326290115 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 WI · 2754
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.
13800 W NORTH AVE, Brookfield, WI 53005

Other Identifiers 3

Medicaid1326290115WI
Medicare PIN68086 0708WI
Medicare PIN73-601 0010WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha L. Wilson Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Samantha Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 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.

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.

Pediatrics (Neurodevelopmental Disabilities)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005
Speech-Language Pathologist
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER
BROOKFIELD, WI 53005
Dermatology
13800 W NORTH AVE
BROOKFIELD, WI 53005
Dermatology
13800 W NORTH AVE, STE 100
BROOKFIELD, WI 53005
Nurse Practitioner (Pediatrics)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005
Psychologist (Clinical Child & Adolescent)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005
Psychologist (Clinical Child & Adolescent)
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005
Dermatology
13800 W NORTH AVE, SUITE 100
BROOKFIELD, WI 53005

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 Samantha Wilson's NPI number?

The NPI number for Samantha Wilson is 1326290115. It was assigned to this individual provider in the NPPES registry on October 13, 2008.

Where is Samantha Wilson located?

Samantha Wilson practices at 13800 W North Ave Child Development Center, Brookfield, WI 53005. The listed phone number is (262) 432-6600.

What is Samantha Wilson's specialty?

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

Is Samantha Wilson enrolled in Medicare?

Yes. Samantha Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Wilson reassigns Medicare benefits to The Medical College Of Wisconsin, Inc. (Milwaukee, WI). 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 Samantha Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Samantha Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Wilson was last updated on October 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.