JUDITH WILSON PHD
NPI 1457447534
Psychologist - Clinical in Palo Alto, CA

Q: What is Judith Wilson's NPI number?

The NPI number for Judith Wilson is 1457447534. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Judith Wilson's specialty?

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

Q: Is Judith Wilson enrolled in Medicare?

No. Judith Wilson has opted out of Medicare through April 1, 2028. 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 Judith Wilson was last updated on August 8, 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.

Active since October 05, 2006Opted out of Medicare · through Apr 1, 2028

795 EL CAMINO REAL, PALO ALTO, CA 94301(650) 321-4121 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Judith Wilson Phd NPPES

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

JUDITH WILSON PHD (NPI 1457447534) is an individual clinical provider in Palo Alto, California, licensed in California (PSY15146) and active in the NPI registry since October 2006. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1457447534

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJUDITH WILSONCredential: PHD

Location Address795 EL CAMINO REALPalo Alto, CA 94301-2302

Mailing Address2350 W. El Camino Real, 2nd FloorMountain View, CA 94040-6203

Phone(650) 321-4121

Sole ProprietorNo

Enumeration DateOctober 5, 2006

Last NPPES UpdateAugust 8, 2012

✔ NPI 1457447534 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 · PSY15146

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.

795 EL CAMINO REAL, Palo Alto, CA 94301

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Other Identifiers 1

Medicare UPINQ05045CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Judith Wilson Phd 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 April 1, 2020 through April 1, 2028.

Opt-Out Effective DateApril 1, 2020

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

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