Olivia Michael Wilhelm

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

20-130601 Issued in CA

Practice address

8 Wildwood LN
Palm Coast, FL 32137-3221

Phone

(386) 227-6485

NPI assigned

Jun 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Coast Autism LLC

  • Behavior Analyst
  • Palm Coast, FL
  • NPI 1861821084

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1396237129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CRESTVIEW DR",
            "city": "TRAER",
            "state": "IA",
            "postal_code": "506751407",
            "telephone_number": "319-231-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WILDWOOD LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373221",
            "telephone_number": "386-227-6485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4614 84th St",
            "address_purpose": "LOCATION",
            "city": "Urbandale",
            "state": "IA",
            "postal_code": "503221089",
            "country_code": "US",
            "telephone_number": "515-270-6838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "OLIVIA",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "20-130601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wholesome Health Primary Care PLLC
• Wholistickneads Massage Therapy, LLC
• Matthew Julian Wideroff, M.D.
• Mary Lynn Wieber
• Harmoni La'Nea Wiggins
• Danasia Williams - Griffin
• Donnette Felice Williams, M.D.
• Henry Williams
• Kathryn Marie Williams
• Madlyn Williams

• Behavior Technician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.