JOSCELYN R. WILSON M.A.
NPI 1871840603
Psychologist in Portland, OR

Active since August 10, 2012PECOS Enrolled
9911 SE MOUNT SCOTT BLVD, PORTLAND, OR 97266(503) 258-4200 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Joscelyn R. Wilson M.a. NPPES

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

JOSCELYN R. WILSON M.A. (NPI 1871840603) is an individual psychologist in Portland, Oregon, licensed in California (29062) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871840603
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJOSCELYN R. WILSONCredential: M.A.
Location Address9911 SE MOUNT SCOTT BLVDPortland, OR 97266-6302
Mailing Address9911 Se Mount Scott BlvdPortland, OR 97266-6302 · (503) 258-4200
Sole ProprietorYes
Enumeration DateAugust 10, 2012
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
NPI 1871840603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 29062
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

9911 SE MOUNT SCOTT BLVD, Portland, OR 97266

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Joscelyn R. Wilson M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

Registered Nurse (General Practice)
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Social Worker (Clinical)
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Residential Treatment Facility, Emotionally Disturbed Children
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Case Manager/Care Coordinator
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Social Worker
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Registered Nurse (Community Health)
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Registered Nurse
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Counselor
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871840603, enumerated as an "individual" on August 10, 2012.

The provider is located at 9911 SE MOUNT SCOTT BLVD PORTLAND, OR 97266 and the phone number is (503) 258-4200.

Psychologist with taxonomy code 103T00000X.