DR. ELIZABETH JANIECE WILSON PHD
NPI 1871322917
Psychologist - Clinical in Chicago, IL

Active since July 29, 2024
1645 W JACKSON BLVD STE 400, CHICAGO, IL 60612(312) 563-9636 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elizabeth Janiece Wilson Phd NPPES

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

DR. ELIZABETH JANIECE WILSON PHD (NPI 1871322917) is an individual clinical provider in Chicago, Illinois, licensed in Indiana (20043799B) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1871322917
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ELIZABETH JANIECE WILSONCredential: PHD
Location Address1645 W JACKSON BLVD STE 400Chicago, IL 60612-3244
Mailing Address1645 W Jackson BlvdChicago, IL 60612-3276 · (312) 563-9636
Sole ProprietorNo
Enumeration DateJuly 29, 2024
NPPES CertifiedJuly 29, 2024
NPI 1871322917 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 IN · 20043799B
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.
1645 W JACKSON BLVD STE 400, Chicago, IL 60612

Other Providers at the Same Location NPPES 11

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

Psychologist (Clinical)
1645 W JACKSON BLVD STE 400
CHICAGO, IL 60612
Psychologist (Clinical)
1645 W JACKSON BLVD STE 400
CHICAGO, IL 60612
Clinical Neuropsychologist
1645 W JACKSON BLVD STE 400
CHICAGO, IL 60612
Psychologist (Counseling)
1645 W JACKSON BLVD STE 400
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1645 W JACKSON BLVD STE 400
CHICAGO, IL 60612
Psychologist (Clinical)
1645 W JACKSON BLVD STE 400
CHICAGO, IL 60612
Psychologist (Clinical)
1645 W JACKSON BLVD STE 400
CHICAGO, IL 60612
Psychologist (Clinical)
1645 W JACKSON BLVD STE 400
CHICAGO, IL 60612

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 Elizabeth Wilson's NPI number?

The NPI number for Elizabeth Wilson is 1871322917. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Elizabeth Wilson located?

Elizabeth Wilson practices at 1645 W Jackson Blvd Ste 400, Chicago, IL 60612. The listed phone number is (312) 563-9636.

What is Elizabeth Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Elizabeth Wilson was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.