Mark C. Wilde, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

25025 Issued in TX

Practice address

13201 Northwest Fwy Ste 668
Houston, TX 77040-6237

Phone

(713) 487-5882

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NB Health PLLCGroup PAC ID 8527405737, 2 clinicians

TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwilde80543@directhoustonmethodist.org

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.

• NB Health PLLC

  • Clinical Neuropsychologist
  • Houston, TX
  • NPI 1245019389
  Medicare reassignment Care Compare group NPD
• TMH Physician Associates PLLC

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1275779225
  Medicare reassignment Care Compare group NPD
• Houston Methodist Specialty Physicians

  • Otolaryngology Physician
  • Houston, TX
  • NPI 1902614332
  Medicare reassignment Care Compare group
• TMH Physician Associates PLLC

  • Orthopaedic Surgery Physician
  • Spring, TX
  • NPI 1043061351
  NPD

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1730148925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 HARGRAVE RD",
            "address_2": "SUITE 505",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704373",
            "telephone_number": "281-737-1167",
            "fax_number": "281-469-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 NORTHWEST FWY STE 668",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406237",
            "telephone_number": "713-487-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "MARK",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "25025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102648606",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89680A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Wild, PA
• Lindsay Taylor Wild, OT
• Thomas Wild, DDS
• Dianna Jane Wilde, DDS
• Lynn Wilde, COTA
• Angelica Marie Wilder
• Joseph Wilder, MD
• Melissa Lynne Wilder, MPH, RD, LD
• Stephanie Abimbola Olawaiye Wilderness, PA-C
• Kimberly Ann Wildes, DRPH, MA, LPC-I

• Clinical Neuropsychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.