Wildwood Programs, Inc.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

013600 Issued in NY

Legal business name

WILDWOOD PROGRAMS, INC.

Practice address

1190 Troy Schenectady Rd
Latham, NY 12110-1026

Phone

(518) 783-3421

Fax

(518) 785-9670

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gary R. Milford

Title

Chief Financial Officer

Phone

(518) 356-6410

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1407041502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995B CURRY ROAD EXTENSION",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12303",
            "telephone_number": "518-356-6410",
            "fax_number": "518-356-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 TROY SCHENECTADY RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101026",
            "telephone_number": "518-783-3421",
            "fax_number": "518-785-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDWOOD PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "MILFORD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "518-356-6410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "013600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David White
• Jessica White
• Beth Ellen Whiteside, MD
• Lisa Whitten, LMHC
• Cara Wickham, PA
• Emma Skye Wilkinson
• William J Feeney MD PLLC
• Edwin Williams
• Kathleen Williams, PT
• Robert K Wind

• Clinical Neuropsychologist in Latham, NY
• Providers in Latham, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.