DR. BRIAN ANDREW WILSON PH.D.
NPI 1558305359
Psychologist - Clinical in Tampa, FL

Q: What is Brian Wilson's NPI number?

The NPI number for Brian Wilson is 1558305359. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is Brian Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brian Wilson was last updated on September 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 15, 2006PECOS EnrolledAccepts Medicare Assignment

16203 HAMPTON TRACE CT, TAMPA, FL 33647(727) 239-5684 Get Directions Write a Review

NPPES record last updated: September 12, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Brian Andrew Wilson Ph.d. NPPES

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

DR. BRIAN ANDREW WILSON PH.D. (NPI 1558305359) is an individual clinical provider in Tampa, Florida, licensed in Florida (PY8981) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1558305359

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. BRIAN ANDREW WILSONCredential: PH.D.

Location Address16203 HAMPTON TRACE CTTampa, FL 33647-2745

Mailing Address17401 Commerce Park Blvd Ste 103-0319Tampa, FL 33647-3501 · (727) 239-5684

Phone(727) 239-5684

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJune 15, 2006

Last NPPES UpdateSeptember 12, 2021

NPPES CertifiedSeptember 12, 2021

✔ NPI 1558305359 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 FL · PY8981

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.

16203 HAMPTON TRACE CT, Tampa, FL 33647

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Andrew 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 ID9739578287

PECOS Enrollment IDI20211123000280

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

Tampa Palms Psychology, LLC

Same address

Adult Mental Health

16203 HAMPTON TRACE CT
Tampa, FL 33647

Reassigned Medicare billing, Florida enrollment

NPI 1679242648 (727) 239-5684

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

843 services35 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33647 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

TAMPA PALMS PSYCHOLOGY, LLC

Clinic/Center (Adult Mental Health)

16203 HAMPTON TRACE CT
TAMPA, FL 33647

Hillsborough County (727) 239-5684

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 Brian Wilson's NPI number?

The NPI number for Brian Wilson is 1558305359. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Brian Wilson located?

Brian Wilson practices at 16203 Hampton Trace Ct, Tampa, FL 33647. The listed phone number is (727) 239-5684.

What is Brian Wilson's specialty?

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

Is Brian Wilson enrolled in Medicare?

Yes. Brian 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.

Which organization bills Medicare for Brian Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Wilson reassigns Medicare benefits to Tampa Palms Psychology, LLC (Tampa, FL). 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 Brian Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Wilson was last updated on September 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.