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

James Clinton Wilson, PHD

Individual provider Clinical Neuropsychologist · NPI 1902932783

James Clinton Wilson, PHD is a Clinical Psychologist in San Rafael, California. Qualified in 1985, 41 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
41
Licensed in
CA
In the registry since
2007
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

712 D St Ste N
San Rafael, CA 94901-3706
Phone: (415) 485-1939
Fax: (415) 485-1939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY10276 (CA)

Record details

NPI number1902932783
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedFebruary 26, 2007
Last updated in NPPESJuly 8, 2007
Mailing address49 Creekside Dr, San Rafael, CA 94903-1076

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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