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DR. MARK C. WILDE PSY.D. NPI 1730148925


NPI Information

NPI: 1730148925
Provider Name: DR. MARK C. WILDE, PSY.D.
Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Individual

Specialization: Clinical Neurophysiology

Organization: TMH PHYSICIAN ASSOCIATES PLLC

PECOS Registration: Yes

Address:
13300 HARGRAVE RD
SUITE 505
HOUSTON, TX
ZIP 77070
Phone: (281) 737-1167
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DR. Mark C. Wilde, PSY.D. is a clinical neurophysiology psychiatry neurology in Houston, TX with 33 years of experience. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). DR. Mark C. Wilde, PSY.D. NPI is 1730148925. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13300 HARGRAVE RD
SUITE 505
HOUSTON, TX
ZIP 77070-373
Phone: (281) 737-1167
Fax: (281) 469-1460

The NPI 1730148925 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Neuropsychological testing, interpretation, and report by psychologist or physician per hour (HCPCS:96118)
  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 3/17/2006 and was last updated on 2/27/2017.


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
1103G00000XClinical Neuropsychologist25025TEXASNo
22084N0600XPsychiatry & NeurologyClinical Neurophysiology25025TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1431428ZSWDMEDICARE PINTEXAS
2C23469MEDICARE UPINTEXAS
3102648606MEDICAIDTEXAS
489680AOTHERTEXASBCBS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.