1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Psychiatry Neurology
  6. NPI Profile

DR. RODGERS M WILSON M.D.
NPI 1891745931
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Active since May 11, 2006
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124(215) 831-4600(215) 831-6984 Get Directions Write a Review

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

About Dr. Rodgers M Wilson M.d. NPPES

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

DR. RODGERS M WILSON M.D. (NPI 1891745931) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD424283) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1891745931
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. RODGERS M WILSONCredential: M.D.
Location Address4641 ROOSEVELT BLVDPhiladelphia, PA 19124-2343
Mailing Address4641 Roosevelt BlvdPhiladelphia, PA 19124-2343 · (215) 831-4600 · Fax (215) 831-6984
Phone(215) 831-4600
Fax(215) 831-6984
Sole ProprietorNo
Enumeration DateMay 11, 2006
Last NPPES UpdateMay 8, 2012
✔ NPI 1891745931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD424283
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4641 ROOSEVELT BLVD, Philadelphia, PA 19124
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE99191PA
Medicare ID-Type Unspecified081594KKDPA
Medicaid101127811-001PA

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.

ADAM LEVINE LCSW
Social Worker
4641 ROOSEVELT BLVD, ORLEANS BUILDING
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-2899
FRIENDS BEHAVIORAL HEALTH SYSTEM, LP
Psychiatric Hospital
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-4600
PAUL BALLAS
Psychiatry & Neurology (Psychiatry)
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-7935
COURTNEY DOUDS LSW, MED
Social Worker
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-2860
MR. JAMIYLAH SIKA BURNS PHYSICAL THERAPIST
Physical Therapist (Pediatrics)
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Philadelphia County (215) 742-7820
CHRISTEN JOESELL YASSIN
Social Worker
4641 ROOSEVELT BLVD, ORLEANS BLDG
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-2836
MRS. MARIANN MONTELEONE RN
Registered Nurse (Psychiatric/Mental Health)
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-2964
DR. MITZIE L GRANT PHD.
Clinical Neuropsychologist
4641 ROOSEVELT BLVD, SUITE C229
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-4811

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 Rodgers Wilson's NPI number?

The NPI number for Rodgers Wilson is 1891745931. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Rodgers Wilson located?

Rodgers Wilson practices at 4641 Roosevelt Blvd, Philadelphia, PA 19124. The listed phone number is (215) 831-4600.

What is Rodgers Wilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Rodgers Wilson was last updated on May 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.