Nailah L Wilds, LCAT, R-DMT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

002846 Issued in NY

Practice address

45 E 135TH St
New York, NY 10037-2308

Phone

(646) 780-9385

NPI assigned

Jun 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1497372379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 PROSPECT PARK W # 160",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155802",
            "telephone_number": "646-667-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E 135TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100372308",
            "telephone_number": "646-780-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDS",
        "first_name": "NAILAH",
        "middle_name": "L",
        "credential": "LCAT, R-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "002846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nwilds@renfrewcenter.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "The Renfrew Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "38 E 32nd St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100165507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jesse McGraw Wildman Foster, LMFT
• Horatio F. Wildman, M.D.
• Jason M Wildman
• Linda Levine Wildman, REGISTERD DIETITIAN
• Nancy Hill Wildrick, LCSW
• Nicole Joy Wildstein, PSY.D.
• Abigail Wile, LCSW
• Catherine H Wile, LCSW
• Jerome R Wile, LCSW
• Elizabeth Wilen-Berg, PH.D.

• Counselor in New York, NY
• Providers in New York, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.