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DR. SUSAN MARIE WILDE PSY.D. NPI 1710131008


NPI Information

NPI: 1710131008
Provider Name: DR. SUSAN MARIE WILDE, PSY.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
1035 SAN PABLO AVE
SUITE 8
ALBANY, CA
ZIP 94706
Phone: (510) 978-0221
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DR. Susan Marie Wilde, PSY.D. is a clinical psychologist in Albany, CA. The provider is 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. DR. Susan Marie Wilde, PSY.D. NPI is 1710131008. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1035 SAN PABLO AVE
SUITE 8
ALBANY, CA
ZIP 94706-275
Phone: (510) 978-0221

The enumeration date for this NPI number is 11/13/2008 and was last updated on 11/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)PSY19673CALIFORNIANo
2103TB0200XPsychologistCognitive & BehavioralPSY19673CALIFORNIANo
3103TC0700XPsychologistClinicalPSY19673CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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