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

Individual provider Prescribing (Medical) Psychologist · NPI 1700909538

Mary Jo Wilson, PHD is a Prescribing (Medical) Psychologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
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

315 W 57th St Ste 402
New York, NY 10019-3158
Phone: (212) 757-6607
Fax: (212) 757-2932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prescribing (Medical) Psychologist (primary) Taxonomy 103TP0016X · Licence 010284 (NY)

Record details

NPI number1700909538
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 8, 2007
Last updated in NPPESJuly 8, 2007

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