Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144427196 Individual Practitioner Male Practitioner

Dr. Frederick L Wilson , EdD

Psychologist • Chesapeake, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Frederick Wilson, EdD is a certified Psychologist practicing in Chesapeake, VA. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Wilson delivers high-quality medical care to the local community at 2117 SMITH AVE.

Dr. Wilson is affiliated with Mental Health Specialty Group Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

2117 Smith Ave
Suite B

Chesapeake, VA 233202519

Telephone 7579373969
Fax 7575481928
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Chesapeake, VA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +2.4 yrs vs City Avg
City Avg: 13.6 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
13 Specialists

Practicing in Chesapeake, VA (511 Statewide)

Telehealth Adoption Rate
30.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (16 Years) 16 Yrs
Chesapeake Specialty Average (13.6 Years) 13.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-11
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License VA 0701005950

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License NC 6644

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License VA 0701005950

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License VA 0701005950

Definition to come...

Hospital & Practice Group Affiliations

Mental Health Specialty Group Pa

None, Churchville, VA 24421

Phone: 3232057088

Practice Associates & Co-Workers

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

5 Associated Practitioners
Robin Gills , LPC

Counselor - Professional

NPI 1154375863

Licensed Professional Counselor

William Cook , LPC

Counselor - Professional

NPI 1366191157

Licensed Professional Counselor

Thomas Kannon , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1396112538

Psychiatric-Mental Health Nurse Practitioner

Craig Tyson , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1720342272

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

James Partch , LMHP-R

Counselor - Mental Health

NPI 1740742345

LMHPR

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location February 07, 2023

Registered at 2117 SMITH AVE, SUITE B, CHESAPEAKE, VA 233202519 (Tel: 7579373969)

📍
Updated Business Mailing Address February 07, 2023

Registered at 2117 SMITH AVE, SUITE B, CHESAPEAKE, VA 233202519 (Tel: 7579373969)

👤
Provider Name / Credentials Updated February 07, 2023

Recorded as FREDERICK WILSON, EDD

NPI Profile Active September 16, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 16, 2011

Registered at 216 STEWART PKWY, WASHINGTON, NC 278894972 (Tel: 2529460585)

📍
Updated Business Mailing Address September 16, 2011

Registered at 216 STEWART PKWY, WASHINGTON, NC 278894972 (Tel: 2529460585)

👤
Provider Name / Credentials Updated September 16, 2011

Recorded as FREDERICK WILSON, EDD, LPC, NCC,LCAS,

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2011

Counselor (License #6644 in NC)

🟢
Initial NPI Registration & Enumeration July 02, 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: 1144427196
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2007
Last Update: July 15, 2025
Sole Proprietor: Yes

Mailing Address

2117 Smith Ave, Suite B

Chesapeake, VA 233202519

Phone: 7579373969

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.