Eleanor Kay Wilder, LMFT

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

MFC47911 Issued in CA

Practice address

555 Soquel Ave
Suite 240
Santa Cruz, CA 95062-2336

Phone

(831) 425-1531

NPI assigned

Aug 7, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1063603652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 ALAMO AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603005",
            "telephone_number": "831-425-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SOQUEL AVE",
            "address_2": "SUITE 240",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622336",
            "telephone_number": "831-425-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "ELEANOR",
        "middle_name": "KAY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "MFC47911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DRIVERS LICENSE",
            "identifier": "N2643674",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Brie Wieselman, L.AC
• Jasmine Wiest, L.AC.
• Alison Read Wight, MSW
• Tracy L Wikander, MFT
• Ralph Wilcox III, CADC
• Michael Gene Wiley, MA, MFT
• Gina L Wilhelm, CAADE
• Tim Jack Wilkins, CAADAC
• Spencer I Wilkinson
• Amy Erin Williams-McNish, M.A., LMFT #103875

• Psychoanalyst in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Psychoanalyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.