IndividualActive
Tatum Wilson
NPI 1265108401 · Psychologist · Grand Rapids, MI
Tatum Wilson is a Psychologist provider in Grand Rapids, MI (NPI 1265108401).
Provider details
- NPI number
- 1265108401
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6362009546 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
534 Fountain St Ne
Grand Rapids, MI 49503-3422
Phone: (616) 456-1178
Street-level locationGet directions
Mailing address
4374 Valla Ct Sw
Grandville, MI 49418-2452
Registry dates
- Enumerated
- 2021-08-18
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Frequently asked questions
- What is Tatum Wilson's NPI number?
- Tatum Wilson's National Provider Identifier (NPI) is 1265108401, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tatum Wilson's specialty?
- Tatum Wilson is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Tatum Wilson located?
- Tatum Wilson's practice location on file with NPPES is 534 Fountain St Ne, Grand Rapids, MI 49503-3422.
- What is Tatum Wilson's phone number?
- The practice phone number listed in the NPPES registry for Tatum Wilson is (616) 456-1178.
- Is Tatum Wilson's NPI active?
- Yes — Tatum Wilson's NPI (1265108401) is active in the NPPES registry as of the last update on 2025-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.