Individual provider Active NPI

Christine Marie Wilder, M.D.

  • Addiction Psychiatry Physician
  • Cincinnati, OH
National Provider Identifier
1477767911
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
35.099785 Issued in OH
Practice address
3131 Harvey Ave
Suite 104
Cincinnati, OH 45229-3000
Phone
(513) 585-8285
Fax
(513) 585-8278
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 35.099785 OH Primary
Psychiatry Physician 2084P0800X 35.099785 OH

Addresses

Primary practice location

3131 Harvey Ave
Suite 104
Cincinnati, OH 45229-3000

Mailing address

3131 Harvey Ave
Suite 104
Cincinnati, OH 45229-3000
Phone (513) 585-8285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150929003001 OH Practitioner - PsychiatryPractitioner - Addiction Medicine 0648495465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.099785OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC Psychiatry CurrentSince Sep 1, 2015 Accepting new patients

Locations

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

2830 Victory Pkwy
#806
Cincinnati, OH 45206
Phone (513) 245-3694

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3131 Harvey Ave
Ste 104
Cincinnati, OH 45229
Phone (513) 585-9500

Interoperability endpoints

  • Direct secure messaging: cwilder14580@direct.uchealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1477767911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 HARVEY AVE",
            "address_2": "SUITE 104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293000",
            "telephone_number": "513-585-8285",
            "fax_number": "513-585-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 HARVEY AVE",
            "address_2": "SUITE 104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293000",
            "telephone_number": "513-585-8285",
            "fax_number": "513-585-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "OH",
            "license": "35.099785",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.099785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.