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DELTA PSYCHOLOGICAL COLLECTIVE PLLC
NPI 1558282152
Psychologist - Clinical in Paducah, KY

Active since July 22, 2026
3121 BROADWAY ST STE 106, PADUCAH, KY 42001(270) 201-5139 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Delta Psychological Collective Pllc NPPES

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

DELTA PSYCHOLOGICAL COLLECTIVE PLLC (NPI 1558282152) is a healthcare organization registered as a clinical in Paducah, Kentucky and active in the NPI registry since July 2026. The organization lists Ashley Mb Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1558282152
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameDELTA PSYCHOLOGICAL COLLECTIVE PLLC
Location Address3121 BROADWAY ST STE 106Paducah, KY 42001-4313
Mailing Address3121 Broadway St Ste 106Paducah, KY 42001-4313 · (270) 201-5139
Phone(270) 201-5139
Organization SubpartNo
Authorized OfficialAshley Mb WilsonOwner · (630) 615-0605
Enumeration DateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
✔ NPI 1558282152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
3121 BROADWAY ST STE 106, Paducah, KY 42001
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Delta Psychological Collective Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Delta Psychological Collective PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ashley Wilson, LP
Clinical Psychologist
NPI 1851071955
413 BROADWAY ST STE A
Paducah, KY 42001
(270) 217-5218
✔ PECOS2.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Delta Psychological Collective PLLC's NPI number?

The NPI number for Delta Psychological Collective PLLC is 1558282152. It was assigned to this organization in the NPPES registry on July 22, 2026.

Where is Delta Psychological Collective PLLC located?

Delta Psychological Collective PLLC is located at 3121 Broadway St Ste 106, Paducah, KY 42001. The listed phone number is (270) 201-5139.

What is Delta Psychological Collective PLLC's specialty?

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

Is Delta Psychological Collective PLLC enrolled in Medicare?

Yes. Delta Psychological Collective PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Delta Psychological Collective PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Delta Psychological Collective PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Delta Psychological Collective PLLC was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.