Meredith Wike

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-09-5236 Issued in VA

Practice address

1361 S Winchester Blvd Ste 109
San Jose, CA 95128-4328

Phone

(804) 436-2222

Fax

(831) 288-8763

NPI assigned

Jul 28, 2010

Last updated

Nov 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Summit Behavioral Consulting LLC

  • Behavior Analyst
  • San Jose, CA
  • NPI 1073024196
  NPD Authorized official

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1730493057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 S WINCHESTER BLVD STE 109",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284328",
            "telephone_number": "804-436-2222",
            "fax_number": "831-288-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 S WINCHESTER BLVD STE 109",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284328",
            "telephone_number": "804-436-2222",
            "fax_number": "831-288-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKE",
        "first_name": "MEREDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-09-5236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole P. Wiesen, LMFT
• Leah Wiesner, CCC-SLP
• Isabel C Wiggins
• Maria Guadalupe Wiggins
• Susan Wigley, D.C.
• Samuel Wilborn
• Bruce George Wilbur, M.D.
• Carolyn Shigemi Wilbur, MSW
• Lois Rachel Wilco-Owens, M.S., MFT
• Victoria Wilcox

• Behavior Analyst in San Jose, CA
• Providers in San Jose, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.