Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1710183447 Deactivated / Inactive NPI Male Practitioner

Dr. Warner Rushing Wilson , PhD

Psychologist • Las Vegas, NV

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Warner Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 21, 2007
NPI Deactivation Date August 10, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Warner Wilson, PhD was a registered Psychologist practicing in Las Vegas, NV. Throughout an active medical career spanning 10 years, Dr. Wilson provided care at the practice location at 3376 S EASTERN AVE until profile deactivation on 2017-08-10.

Practice Location & Contact Primary Location

Practice Address

3376 S Eastern Ave
Ste 120

Las Vegas, NV 891693367

Telephone 7028936507
Fax 7028939710
Associated Practice Facility / Clinic
🏢 Pearly Whites Lv Corp. Facility NPI 1982649190

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Las Vegas, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.6 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
120 Specialists

Practicing in Las Vegas, NV (254 Statewide)

Telehealth Adoption Rate
5.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License NV 215

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Cheryl Vanpelt

Technician - Personal Care Attendant

NPI 1124667977
Jamond Harrell

Rehabilitation Practitioner

NPI 1194252213
Maria Enamorado

Technician - Personal Care Attendant

NPI 1215569819
Dr. Michael Squitieri , DDS

Dentist - Endodontics

NPI 1356520076

Doctor of Dental Surgery

Idella Jones

Technician - Personal Care Attendant

NPI 1396396255
Abraham Loya

Technician - Personal Care Attendant

NPI 1427698737

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 10, 2017

Record deactivated on August 10, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3376 S EASTERN AVE, STE 120, LAS VEGAS, NV 891693367 (Tel: 7028936507)

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Updated Business Mailing Address July 08, 2007

Registered at 3376 S EASTERN AVE STE 120, LAS VEGAS, NV 891093367 (Tel: 7028936507)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WARNER WILSON, PHD.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #215 in NV)

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Initial NPI Registration & Enumeration June 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710183447
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2007
Last Update: July 08, 2007
Deactivation Date: August 10, 2017

Mailing Address

3376 S Eastern Ave Ste 120

Las Vegas, NV 891093367

Phone: 7028936507

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.