Psychiatry & Neurology in GRAND RAPIDS, MI
Last Updated on : Sep 24,2015
JULIE WILSON is a Psychiatry & Neurology provider in GRAND RAPIDS, United States. Her medical specialization is Psychiatry & Neurology with a focus in Addiction Medicine.
1093934267 is NPI number of JULIE WILSON.
JULIE WILSON's primary taxonomy code based on NPI Lookup is 2084A0401X with license number 5101015505. This taxonomy code refers to Psychiatry & Neurology.
JULIE WILSON has more than 15 years of experience.
JULIE WILSON current practice location address is 3210 EAGLE RUN DR NE, GRAND RAPIDS, MI. JULIE WILSON can be reached out via phone at 616-957-1200 and via fax at 616-957-1297 .
You can also correspond with JULIE WILSON through mail at mailing address 3210 EAGLE RUN DR NE, GRAND RAPIDS, MI, United States. Mailing address contact number is 616-957-1200.
The enumeration date of JULIE WILSON is 25-Apr-2007. The provider is registered as an Individual and the NPI record was last updated 8 years ago.Basic NPI information of JULIE WILSON (NPI 1093934267) is provided below.
Name | JULIE WILSON |
---|---|
National Provider Id (NPI) | 1093934267 |
Entity Type | Individual |
Gender | F |
Credential | D.O. |
Practice Address | 3210 EAGLE RUN DR NE,
SUITE 100
GRAND RAPIDS, MI, United States |
Practice Telephone | 616-957-1200 |
Practice Fax Number | 616-957-1297 |
Mailing Address | 3210 EAGLE RUN DR NE ,
SUITE 100
GRAND RAPIDS, MI, United States |
Mailing Telephone | 616-957-1200 |
Mailing Fax Number | 616-957-1297 |
Enumeration Date | 25-Apr-2007 |
Last Updated Date | 24-Sep-2015 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 2084A0401X | Psychiatry & Neurology, Addiction Medicine | 5101015505 | MI |
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medicine, Emergency Medical Services | 5101015505 | MI |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1972669083 | DAVID EARL HAMMOND | Dermatology | 1000 E PARIS AVE SE,
SUITE #214 GRAND RAPIDS, MI, United States |
01-Jan-2007 |
1417193087 | MOHAMMAD JAVAD POOSTIZADEH | Student in an Organized Health Care Education/Training Program | 1900 44TH ST SE,
KENTWOOD, MI, United States |
01-Jan-2009 |
1932520384 | RYE DONOHUE | Rehabilitation Practitioner | 1490 E BELTLINE AVE SE,
GRAND RAPIDS, MI, United States |
01-Jan-2014 |
1346307428 | SCOTT ANTHONY PIROCHTA | Dentist | 2017 EASTCASTLE DR SE,
SUITE B GRAND RAPIDS, MI, United States |
02-Jan-2007 |
1427115336 | OUR HOPE ASSOCIATION | Substance Abuse Rehabilitation Facility | 324 LYON ST NE,
GRAND RAPIDS, MI, United States |
02-Jan-2007 |
1871650747 | PATRICIA ANN MAKSOUDIAN | Marriage & Family Therapist | 3501 LAKE EASTBROOK BLVD SE,
SUITE 280 GRAND RAPIDS, MI, United States |
02-Jan-2007 |
1457418154 | ANGELA K IANITELLI | Physician Assistant | 2537 MOMENTUM PL,
CHICAGO, IL, United States |
02-Jan-2007 |
1366509002 | DAVID SZCZEPANSKI PC | Eyewear Supplier (Equipment, not the service) | 2021 44TH ST SE STE B,
GRAND RAPIDS, MI, United States |
02-Jan-2007 |
1265599807 | STEVEN MCCOY | Dentist | 1500 44TH ST SE,
GRAND RAPIDS, MI, United States |
02-Jan-2007 |
1437495967 | MCKENSAY ELISABETH HEINONEN | Nurse Practitioner | 200 JEFFERSON AVE SE,
GRAND RAPIDS, MI, United States |
03-Jan-2013 |
1124365671 | SPECTRUM HEALTH PRIMARY CARE PARTNERS | Eyewear Supplier (Equipment, not the service) | 100 MICHIGAN ST NE,
MC 845 GRAND RAPIDS, MI, United States |
03-Jan-2013 |
1881015295 | SCOTT VERKAIK | Social Worker | 2456 COIT AVE NE,
GRAND RAPIDS, MI, United States |
02-Jan-2014 |
1306234083 | RONALD MCDONALD HOUSE OF WESTERN MICHIGAN, INC. | Voluntary or Charitable | 1323 CEDAR ST NE,
GRAND RAPIDS, MI, United States |
02-Jan-2015 |
1962910943 | JENNIFER ANN GOLE | Nurse Practitioner | 1900 44TH ST SE,
KENTWOOD, MI, United States |
12-Jan-2018 |
1104398197 | MICHELLE LE KALTENBERG | Technician, Personal Care Attendant | 1490 E BELTLINE AVE SE,
GRAND RAPIDS, MI, United States |
02-Jan-2019 |
1275005266 | FRANCES JUNE WEBER | Technician, Personal Care Attendant | 1490 E BELTLINE AVE SE,
GRAND RAPIDS, MI, United States |
02-Jan-2019 |
1568440139 | SPECTRUM HEALTH KENT COMMUNITY CAMPUS | General Acute Care Hospital | 750 FULLER AVE NE,
MC 160 GRAND RAPIDS, MI, United States |
04-Jan-2006 |
1881672673 | THOMAS J BURDO | Dentist, General Practice | 1100 4 MILE RD NW,
GRAND RAPIDS, MI, United States |
03-Jan-2006 |
1043298771 | BRIAN SCOT NYLAAN | Dentist, General Practice | 5011 PLAINFIELD AVE NE,
GRAND RAPIDS, MI, United States |
03-Jan-2006 |
1316004880 | TABITA JACKSON | Hearing Instrument Specialist | 5000 CHESHIRE LN N,
PLYMOUTH, MN, United States |
03-Jan-2007 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1093934267 is the NPI number of JULIE WILSON.
What is the specialty for JULIE WILSON?The Specialty of JULIE WILSON is Psychiatry & Neurology.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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