Diane C. Wilson, PH.D.
NPI 1497314264ActiveIndividual· Psychologist, Clinical· Farmington, CT
Psychologist, Clinical (PH.D.) with State of Connecticut, practicing in Farmington, Connecticut. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1497314264 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 6, 2019 |
| Last updated in NPPES | Mar 11, 2026 |
| Certified by provider | Mar 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 003371 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CT) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- State of ConnecticutMiddletown, CT · 260 clinicians
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All 28 clinical psychologists in Farmington · All clinical psychologists in Connecticut