Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1982780888 Deactivated / Inactive NPI Male Practitioner

Dr. Don Wilde , PhD

Psychologist - Cognitive & Behavioral • Warwick, NY

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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. Don Wilde has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 31, 2006
NPI Deactivation Date July 26, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Don Wilde, PhD was a registered Psychologist - Cognitive & Behavioral practicing in Warwick, NY. Throughout an active medical career spanning 12 years, Dr. Wilde provided care at the practice location at 65 MAIN ST until profile deactivation on 2018-07-26.

Practice Location & Contact Primary Location

Practice Address

65 Main St

Warwick, NY 109901346

Telephone 8459879960
Fax 8454349570
Associated Practice Facility / Clinic
🏢 Ann M. Studer Dc, Pc Facility NPI 1336454370

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Cognitive & Behavioral in Warwick, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Warwick, NY (236 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Cognitive & Behavioral Primary Specialty

NUCC Taxonomy Code: 103TB0200X

State License CO 2377

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Maryann Ryan , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1336463058

Advanced Practice Registered Nurse

Mileidy Paula , LCSW

Social Worker - Clinical

NPI 1609224948

Licensed Clinical Social Worker

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 26, 2018

Record deactivated on July 26, 2018

NPI Profile Active August 08, 2016

NPI status registered as active in NPPES database

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Updated Practice Location August 08, 2016

Registered at 65 MAIN ST, WARWICK, NY 109901346 (Tel: 8459879960)

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Updated Business Mailing Address August 08, 2016

Registered at PO BOX 549, WARWICK, NY 109900549 (Tel: 8459879960)

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Provider Name / Credentials Updated August 08, 2016

Recorded as DON WILDE, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2016

Psychologist (License #2377 in CO)

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Initial NPI Registration & Enumeration October 31, 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: 1982780888
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2006
Last Update: August 08, 2016
Deactivation Date: July 26, 2018

Mailing Address

Po Box 549

Warwick, NY 109900549

Phone: 8459879960

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.