DR. ROBERT NICHOLI WILSON PHD
NPI 1356406011
Psychologist in Anoka, MN

Active since December 23, 2006PECOS EnrolledAccepts Medicare Assignment
403 JACKSON ST, SUITE 308, ANOKA, MN 55303(763) 786-9822(763) 786-7749 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Robert Nicholi Wilson Phd NPPES

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

DR. ROBERT NICHOLI WILSON PHD (NPI 1356406011) is an individual psychologist in Anoka, Minnesota, licensed in Minnesota (LP-0869) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1356406011
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. ROBERT NICHOLI WILSONCredential: PHD
Location Address403 JACKSON ST, SUITE 308Anoka, MN 55303-2372
Mailing Address403 Jackson St, Suite 308Anoka, MN 55303-2372 · (763) 786-9822 · Fax (763) 786-7749
Fax(763) 786-7749
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateDecember 23, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1356406011 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 MN · LP-0869
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.
403 JACKSON ST, Anoka, MN 55303

Other Identifiers 3

Other8L409WIMN · Bcbs Bob
Other106960MN · U-care Bob
Other61-69554MN · Ubh # Bob

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. Robert Nicholi Wilson Phd 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 ID2365341666
PECOS Enrollment IDI20040106000451
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.

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 Robert Wilson's NPI number?

The NPI number for Robert Wilson is 1356406011. It was assigned to this individual provider in the NPPES registry on December 23, 2006.

Where is Robert Wilson located?

Robert Wilson practices at 403 Jackson St Suite 308, Anoka, MN 55303. The listed phone number is (763) 786-9822.

What is Robert Wilson's specialty?

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

Is Robert Wilson enrolled in Medicare?

Yes. Robert 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 Robert Wilson was last updated on July 9, 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.