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

Dr. Adam Deforest Wilson, PHD

Individual provider Clinical Psychologist · NPI 1619756145

Dr. Adam Deforest Wilson, PHD is a Clinical Psychologist in San Mateo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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

10 Beresford Ct
San Mateo, CA 94403-4597
Phone: (607) 379-4305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY34482 (CA)

Record details

NPI number1619756145
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023
Mailing address1201 Milton St, Pittsburgh, PA 15218-1232

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