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R.L. WILSON, M.D., PC
NPI 1962623249
Psychiatry & Neurology - Psychiatry in South Bend, IN

Active since May 02, 2007
828 E COLFAX AVE, SOUTH BEND, IN 46617(574) 233-5858 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About R.l. Wilson, M.d., Pc NPPES

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

R.L. WILSON, M.D., PC (NPI 1962623249) is a healthcare organization registered as a psychiatry in South Bend, Indiana and active in the NPI registry since May 2007. The organization lists Rickey L Wilson, President, as its authorized official.

NPPES Registry Identity

NPI1962623249
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameR.L. WILSON, M.D., PC
Location Address828 E COLFAX AVESouth Bend, IN 46617-2804
Mailing Address828 E Colfax AveSouth Bend, IN 46617-2804 · (574) 233-5858
Phone(574) 233-5858
Organization SubpartNo
Authorized OfficialRickey L WilsonPresident · (574) 233-5858
Enumeration DateMay 2, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1962623249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IN · 50003038A
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

VAUGHN THOMAS MAWHINNEY PH.D.
Psychologist (Intellectual and Developmental Disabilities)
828 E COLFAX AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 251-1531
JAMES F. BROGLE, PH.D., P.C.
Psychologist (Clinical)
828 E COLFAX AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 233-3003
V. THOMAS MAWHINNEY, PH.D., INC.
Psychologist (Cognitive & Behavioral)
828 E COLFAX AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 251-1531
DR. CAROL ANN TAGESON PSY.D
Psychologist (Clinical)
828 E COLFAX AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 233-3003
DR. JAMES F BROGLE PH.D.
Psychologist (Clinical)
828 E COLFAX AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 233-3003

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 R.L. Wilson, M.D., PC's NPI number?

The NPI number for R.L. Wilson, M.D., PC is 1962623249. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is R.L. Wilson, M.D., PC located?

R.L. Wilson, M.D., PC is located at 828 E Colfax Ave, South Bend, IN 46617. The listed phone number is (574) 233-5858.

What is R.L. Wilson, M.D., PC'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 R.L. Wilson, M.D., PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.