WILDER THERAPY AND WELLNESS, LLC (NPI# 1346664505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346664505 |
| Entity Type | Organization |
| Organization Name | WILDER THERAPY AND WELLNESS, LLC |
| Practice Address |
63 Sockanosset Cross Rd 2a-7 Cranston RI 02920-5557 |
| Practice Telephone | 4014061101 |
| Practice Fax Number | 4017128659 |
| Mailing Telephone | 4014061101 |
| Mailing Fax Number | 4017128659 |
| Enumeration Date | 2014-02-08 |
| Last Update Date | 2014-02-08 |
| Authorized Official Name | MISS HEATHER N WILDER (OWNER/ CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 4014061101 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI- JAMI WILDER | 1891125167 | 01 | |
| INDIVIDUAL NPI- HEATHER WILDER | 1083943310 | 01 |
| Street Address |
63 SOCKANOSSET CROSS RD 2A-7 |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-5557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243490 | Life Care At Home of Rhode Island, Inc. | Home Health | 63 Sockanosset Cross Rd, Ste 1c, Cranston, RI 02920-5557 | 2005-05-23 |
| 1447664172 | Lhcg Lix, LLC | Home Health | 63 Sockanosset Cross Rd, Suite 1-c, Cranston, RI 02920-5557 | 2014-06-20 |
| 1891125167 | Jami Wilder | Psychologist | 63 Sockanosset Cross Rd, Suite 2a7, Cranston, RI 02920-5557 | 2013-11-22 |
| 1700919545 | Linda B Marchetti | Social Worker | 63 Sockanosset Cross Rd, Ste 1-b, Cranston, RI 02920-5557 | 2007-03-13 |
| 1467585224 | John B Marchetti Jr. | Social Worker | 63 Sockanosset Cross Rd, Ste 1-b, Cranston, RI 02920-5557 | 2007-03-13 |
| 1053485185 | Debra Anne Vincent | Dietitian, Registered | 63 Sockanosset Cross Rd, Suite A, Cranston, RI 02920-5557 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477760411 | Joanne Lynne Fowler | Psychologist | 1210 Pontiac Ave, Institute for Behavioral Medicine 3rd Floor, Cranston, RI 02920-4490 | 2007-05-17 |
| 1588752406 | Frank James Canino | Psychologist | 935 Park Ave Ste 200, Cranston, RI 02910-2748 | 2006-10-10 |
| 1972539377 | Lakshyan Schanzer | Psychologist | 60 Shirley Blvd, Cranston, RI 02910-3326 | 2006-06-25 |
| 1649636416 | Institute for Behavioral Medicine | Psychologist | 1210 Pontiac Ave, 3rd Floor, Cranston, RI 02920-4490 | 2016-01-11 |
| 1801210125 | Mary Beth Kilinski | Psychologist | 51 Sockanosset Cross Rd, Suite #203, Cranston, RI 02920-5536 | 2014-02-06 |
| 1891125167 | Jami Wilder | Psychologist | 63 Sockanosset Cross Rd, Suite 2a7, Cranston, RI 02920-5557 | 2013-11-22 |
| 1437402518 | Ryan Porell | Psychologist | 800 Oaklawn Ave, B2, Cranston, RI 02920-2822 | 2012-10-26 |
| 1457412629 | Suzanne S. Borstein | Psychologist | 75 Sockanosset Cross Road, Suite 212, Cranston, RI 02920-5558 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644784 | Cerissa Blaney Phd LLC | Psychologist | 18 Maple Ave # 292, Barrington, RI 02806-3560 | 2020-09-21 |
| 1326659012 | Jacob Adrian Lafo | Psychologist | 450 Veterans Memorial Pkwy Ste 8b, East Providence, RI 02914-5315 | 2020-08-14 |
| 1699384651 | Kaleb L. Singleton | Psychologist | 32 Grandeville Ct Apt 1017, Wakefield, RI 02879-8212 | 2020-07-27 |
| 1982225033 | Julia Michelle Kamenetsky | Psychologist | 1155 Westminster St Ste 206, Providence, RI 02909-1140 | 2020-04-29 |
| 1801430509 | Concentric Psychological Services PC | Psychologist | 205 Waterman St Ste 106, Providence, RI 02906-4313 | 2019-11-05 |
| 1427606813 | New England Center for Pediatric Psychology | Psychologist | 109 Worcester Ave, Riverside, RI 02915-3409 | 2019-08-28 |
| 1073094181 | Frederick Psychological Services, LLC | Psychologist | 2 Regency Plz Ste 18, Providence, RI 02903-3143 | 2018-08-27 |
| 1033600606 | Michael Alfred Raciti | Psychologist | 12 Wingate Rd, Lincoln, RI 02865-4721 | 2018-05-19 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1306358239 | Trident Psychological Services | Psychologist | 172 Taunton Ave Ste 208, East Providence, RI 02914-4541 | 2017-11-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.