Organization provider

WILSON CLINICAL SERVICES, PLLC.

Prescribing (Medical) Psychologist Clinical Neuropsychologist Clinical Psychologist Medicare enrolled

WILSON CLINICAL SERVICES, PLLC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1063643567, based in Tacoma, WA. The organization lists 4 taxonomy classifications, with Prescribing (Medical) Psychologist recorded as primary.

Getting there

The practice address on file is 1117 A ST, Tacoma, WA 98402. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1117 A ST, Tacoma, WA 98402 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
602937457 WA Community/Behavioral Health Agency

This provider holds licence 602937457 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
0547423477

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Prescribing (Medical) covers

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. NUCC Health Care Provider Taxonomy, code 103TP0016X
Behavioral Health & Social Service Providers Psychologist Prescribing (Medical)

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TP0016X Prescribing (Medical) Psychologist Prescribing (Medical) primary
103G00000X Clinical Neuropsychologist
103TC0700X Clinical Psychologist Clinical
251S00000X Community/Behavioral Health Agency 602937457 WA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1063643567 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJul 31, 2009
Last updatedFeb 9, 2023
StatusActive
Practice address 1117 A ST
Tacoma, WA 98402
(360) 339-7752
The last update on file is Feb 9, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1063643567 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 6 4 3 5 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 3 4 6 5 3

Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063643567?
NPI 1063643567 is the National Provider Identifier assigned to WILSON CLINICAL SERVICES, PLLC. in Tacoma, WA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Prescribing (Medical) cover?
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state…
How do I contact WILSON CLINICAL SERVICES, PLLC.?
The phone number on file with NPPES is (360) 339-7752, last updated Feb 9, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does WILSON CLINICAL SERVICES, PLLC. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063643567 a valid number?
Yes. 1063643567 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.