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Active NPI 1104942374 Individual Practitioner Male Practitioner

Dr. Stanley D Wilson , PhD

Psychologist • Everett, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Stanley Wilson, PhD is a certified Psychologist practicing in Everett, WA. With approximately 48 years of clinical experience since completing medical education in 1978, Dr. Wilson delivers high-quality medical care to the local community at 1814 105TH ST SE.

Dr. Wilson accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1814 105th St Se
Suite 101

Everett, WA 982084816

Telephone 4253858337
Fax 4253853748

Medicare Profile & Education

Medical School

Other

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Everett, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
48 Yrs +24.1 yrs vs City Avg
City Avg: 23.9 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
25 Specialists

Practicing in Everett, WA (1137 Statewide)

Telehealth Adoption Rate
12.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
38.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (48 Years) 48 Yrs
Everett Specialty Average (23.9 Years) 23.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
167 15 $225.00 $139.00

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WA PY00000688

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

2 Associated Practitioners
Ralph Quillman , ACSW

Social Worker - Clinical

NPI 1124191101

Academy of Certified Social Workers

Mariana Sintay , LMHC

Counselor - Mental Health

NPI 1871694307

Licensed Mental Health Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1814 105TH ST SE, SUITE 101, EVERETT, WA 982084816 (Tel: 4253858337)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1814 105TH ST SE, SUITE 101, EVERETT, WA 982084816 (Tel: 4253858337)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STANLEY WILSON, PHD

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

Psychologist (License #PY00000688 in WA)

🟢
Initial NPI Registration & Enumeration March 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: 1104942374
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1814 105th St Se, Suite 101

Everett, WA 982084816

Phone: 4253858337

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.