Donald Arthur Wicklman, D.MIN, LMFT, CAP.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1792 Issued in FL

Practice address

12794 W Forest Hill Blvd
Wellington, FL 33414-4710

Phone

(561) 795-1518

Fax

(561) 795-1629

NPI assigned

May 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Options

  • Community/Behavioral Health Agency
  • Wellington, FL
  • NPI 1073815148
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407062144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 PARINI WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677088",
            "telephone_number": "561-964-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12794 W FOREST HILL BLVD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144710",
            "telephone_number": "561-795-1518",
            "fax_number": "561-795-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKLMAN",
        "first_name": "DONALD",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.MIN, LMFT, CAP.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "1792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Communities Family Practice Assoc Inc
• Western Communities Internal Medicine Corp
• Western Imaging Inc
• Western Surgical Specialists PA
• Valerie Westrick
• Ashley Grace Wilcox
• Tristan Albert Willem
• Yauna Williams, MSN, FNP
• Corey Michael Wilson, D.D.S.
• Regina Wilson, MD

• Marriage & Family Therapist in Wellington, FL
• Providers in Wellington, FL by specialty
• Marriage & Family Therapist in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.