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Deactivated NPI 1356427181 Deactivated / Inactive NPI Male Practitioner

Dr. Roger Kenneth Wilde , EdD

Psychologist - Clinical • Sebring, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Roger Wilde has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 27, 2006
NPI Deactivation Date July 10, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Roger Wilde, EdD was a registered Psychologist - Clinical practicing in Sebring, FL. Throughout an active medical career spanning 19 years, Dr. Wilde provided care at the practice location at 5704 THUNDER RD until profile deactivation on 2025-07-10.

Historical Medicare Part B clinical services included psychotherapy, psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

5704 Thunder Rd

Sebring, FL 338765400

Telephone 8634143970
Fax 8636554978

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Sebring, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Sebring, FL (3084 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
36.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90832 Psychotherapy, 30 minutes
58 11 $110.00 $70.08

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License FL PY2692

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 10, 2025

Record deactivated on July 10, 2025

NPI Profile Active January 27, 2014

NPI status registered as active in NPPES database

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Updated Practice Location January 27, 2014

Registered at 5704 THUNDER RD, SEBRING, FL 338765400 (Tel: 8634143970)

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Updated Business Mailing Address January 27, 2014

Registered at 5704 THUNDER RD, SEBRING, FL 338765400 (Tel: 8634143970)

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Provider Name / Credentials Updated January 27, 2014

Recorded as ROGER WILDE, ED.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2014

Psychologist (License #PY2692 in FL)

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Initial NPI Registration & Enumeration October 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356427181
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: January 27, 2014
Deactivation Date: July 10, 2025

Mailing Address

5704 Thunder Rd

Sebring, FL 338765400

Phone: 8634143970

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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