Ann Wilson, PSY.D.
NPI 1528312725ActiveIndividual· Psychologist, Clinical· San Leandro, CA
Opted out of Medicare from July 2024 to July 2028. Psychologist, Clinical (PSY.D.) in San Leandro, California, licensed in TX and CA, with an NPI issued in November 2012. Medicare paid $22,784 for services to 11 patients in 2024.
Overview
| NPI | 1528312725 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Nov 9, 2012 |
| Last updated in NPPES | Oct 25, 2026 |
| Certified by provider | Oct 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 36477 | TX |
| Psychologist, Clinical | 103TC0700X | PSY22450 | CA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jul 1, 2024 – Jul 1, 2028 |
| Can order and refer | No |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 191 across 3 procedure codes |
| Paid by Medicare | $22,784 |
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All 45 clinical psychologists in San Leandro · All clinical psychologists in California