Wildcat Psychological Services, 'LLC'

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WILDCAT PSYCHOLOGICAL SERVICES, 'LLC'

Practice address

3016 Lake Shore Dr
Unit E
Indianapolis, IN 46205-2324

Phone

(317) 446-4146

NPI assigned

Jun 23, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Ronda Pearl Alexander

Title

Manager

Phone

(317) 446-4146

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1245541499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20009",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46205",
            "telephone_number": "317-446-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 LAKE SHORE DR",
            "address_2": "UNIT E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052324",
            "telephone_number": "317-446-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDCAT PSYCHOLOGICAL SERVICES, 'LLC'",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "PEARL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-446-4146",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodie Lynn Wilcox-Grady, LMHC
• Abbey Wilcox
• Brittany Nicole Wilcox, PT, DPT, LAT, ATC
• Kathryn Wilcox
• Jessica Wild, MS, LMHC
• Megan Marie Wilde
• Rachel Celeste Wilden, PHARMD
• Virginia Daggett Wilder, PHD, MSN, RN
• Summer Nicole Wilderman
• Wildest Kindness

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.