NPI Code Details Logo

NPI 1306781109

NPI 1306781109 : WILSONS FAMILY PSYCHIATRY : WOODLAND HILLS, UT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1306781109
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    WILSONS FAMILY PSYCHIATRY 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/20/2026
-----------------------------------------------------
    Last Update Date     |    04/21/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    265 S WOODLAND HILLS DR 
-----------------------------------------------------
    City                 |    WOODLAND HILLS
-----------------------------------------------------
    State                |    UT
-----------------------------------------------------
    Zip                  |    84653-2003
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    979-213-2275
-----------------------------------------------------
    Fax                  |    801-618-1714
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    265 S WOODLAND HILLS DR 
-----------------------------------------------------
    City                 |    WOODLAND HILLS
-----------------------------------------------------
    State                |    UT
-----------------------------------------------------
    Zip                  |    84653-2003
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    979-213-2275
-----------------------------------------------------
    Fax                  |    801-618-1714
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     AISLING  WILSON 
-----------------------------------------------------
    Credential           |    PMHNP
-----------------------------------------------------
    Telephone            |    979-213-2275
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.