DR. MICHAEL JOHN WILSON PH.D.
NPI 1386203537
Clinical Neuropsychologist in Chicago, IL

Q: What is Michael Wilson's NPI number?

The NPI number for Michael Wilson is 1386203537. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Q: What is Michael Wilson's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Wilson was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 June 11, 2019PECOS EnrolledAccepts Medicare Assignment

4747 W PETERSON AVE STE 303, CHICAGO, IL 60646(773) 606-4303 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2024, Jun 11, 2019 (2 updates tracked since 2019).

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About Dr. Michael John Wilson Ph.d. NPPES

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

DR. MICHAEL JOHN WILSON PH.D. (NPI 1386203537) is an individual clinical neuropsychologist in Chicago, Illinois, licensed in Illinois (071.009991) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1386203537

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. MICHAEL JOHN WILSONCredential: PH.D.

Location Address4747 W PETERSON AVE STE 303Chicago, IL 60646-5748

Mailing Address4747 W Peterson Ave Ste 303Chicago, IL 60646-5748 · (773) 606-4303

Phone(773) 606-4303

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 11, 2019

Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration

NPPES CertifiedAugust 6, 2024

✔ NPI 1386203537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in IL · 071.009991

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

4747 W PETERSON AVE STE 303, Chicago, IL 60646

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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. Michael John 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 ID5395121206

PECOS Enrollment IDI20220929003072

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.

Other Providers at the Same Location NPPES

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

WINDY CITY NEUROPSYCHOLOGY LLC

Clinical Neuropsychologist

4747 W PETERSON AVE STE 303
CHICAGO, IL 60646

Cook County (773) 606-4303

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 Michael Wilson's NPI number?

The NPI number for Michael Wilson is 1386203537. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Michael Wilson located?

Michael Wilson practices at 4747 W Peterson Ave Ste 303, Chicago, IL 60646. The listed phone number is (773) 606-4303.

What is Michael Wilson's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Michael Wilson enrolled in Medicare?

Yes. Michael 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 Michael Wilson was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.