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

Dr. Jaime A B Wilson, PHD, ABPP, MSCP

Individual provider Clinical Neuropsychologist · NPI 1396930343

Dr. Jaime A B Wilson, PHD, ABPP, MSCP is a Clinical Psychologist in Tacoma, Washington. Qualified in 2007, 19 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
19
Licensed in
ID, WA
In the registry since
2007
Specialties on file
3
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

1117 A St
Tacoma, WA 98402-5003
Phone: (360) 339-7752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 455 Washington St Ste 2, Montpelier, ID 83254-1600 — (360) 359-2999

Specialties & licences

Prescribing (Medical) Psychologist (primary) Taxonomy 103TP0016X (ID)
Clinical Neuropsychologist Taxonomy 103G00000X
Clinical Psychologist Taxonomy 103TC0700X · Licence PSYC.PY.60074792 (WA)

Record details

NPI number1396930343
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , ABPP , MSCP
Sole proprietorNo
NPI enumeratedSeptember 12, 2007
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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