Organization Active NPI

Wilder Therapy and Wellness LLC

  • Clinical Psychologist
  • West Greenwich, RI
National Provider Identifier
1346664505
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WILDER THERAPY AND WELLNESS LLC
Practice address
134 Sharpe St
Unit 3
West Greenwich, RI 02817
Phone
(401) 921-3600
Fax
(401) 712-8659
NPI assigned
Feb 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Miss Heather N Wilder, PSY.D.NPI 1083943310
Title
Clinical Psychologist/Co-Owner
Phone
(401) 921-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

134 Sharpe St
Unit 3
West Greenwich, RI 02817

Mailing address

134 Sharpe St
Unit 3
West Greenwich, RI 02817
Phone (401) 921-3600

Other identifiers 2

IdentifierTypeStateIssuer
1083943310OtherINDIVIDUAL NPI- HEATHER WILDER
1891125167OtherINDIVIDUAL NPI- JAMI WILDER

National Provider Directory

National Provider Directory

Locations

63 Sockanosset Cross Rd
#2A7
Cranston, RI 02920

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1346664505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 SHARPE ST",
            "address_2": "UNIT 3",
            "city": "WEST GREENWICH",
            "state": "RI",
            "postal_code": "02817",
            "telephone_number": "401-921-3600",
            "fax_number": "401-712-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 SHARPE ST",
            "address_2": "UNIT 3",
            "city": "WEST GREENWICH",
            "state": "RI",
            "postal_code": "02817",
            "telephone_number": "401-921-3600",
            "fax_number": "401-712-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDER THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-08",
        "last_updated": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/CO-OWNER",
        "authorized_official_telephone_number": "401-921-3600",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI- HEATHER WILDER",
            "identifier": "1083943310",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI- JAMI WILDER",
            "identifier": "1891125167",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Greenwich, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.