Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diane C Wilson, PHD

Individual provider Clinical Psychologist · NPI 1497314264

Diane C Wilson, PHD is a Clinical Psychologist in Farmington, Connecticut. Qualified in 2011, 15 years ago. Practices with State of Connecticut, a 267-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
15
Licensed in
CT
In the registry since
2019
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

270 Farmington Ave Ste 328
Farmington, CT 06032-1909
Phone: (866) 887-6864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 263 Farmington Avenue, Farmington, CT 06030 — (860) 679-6700

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 003371 (CT)

Record details

NPI number1497314264
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 6, 2019
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address263 Farmington Ave, Farmington, CT 06030-1410

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice State Of Connecticut — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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