Deborah Sharon Wilder, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2090 Issued in GA

Practice address

3384 Peachtree Rd NE
Suite 610
Atlanta, GA 30326-1181

Phone

(404) 237-8962

Fax

(404) 636-6434

NPI assigned

Feb 27, 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

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245367192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3384 PEACHTREE RD NE",
            "address_2": "SUITE 610",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261181",
            "telephone_number": "404-237-8962",
            "fax_number": "404-636-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3384 PEACHTREE RD NE",
            "address_2": "SUITE 610",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261181",
            "telephone_number": "404-237-8962",
            "fax_number": "404-636-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "DEBORAH",
        "middle_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "2090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shmeika Wilcox
• Tiara Wilcox
• Tiffany Wilcox, LCSW
• Phelecia Wilcoxson, LPC
• Kai Christopher Wilczewski-Shirai
• Lois Wilder, PA-C
• Joanna Wilen
• Amy Claire Wilensky, SLP
• Haley Wilensky, PT, MPT
• Teresa Rena Wiles Vance, LMT

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.