Alissa Hays Wicklund, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY.0004045 Issued in CO

Practice address

5609 Evening Primrose LN
Fort Collins, CO 80528-6900

Phone

(970) 342-1162

NPI assigned

Jun 14, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Neurobehavioral Associates, P.C.

  • Clinical Neuropsychologist
  • Riverwoods, IL
  • NPI 1881815660
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1821031956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 EVENING PRIMROSE LN",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286900",
            "telephone_number": "970-342-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 EVENING PRIMROSE LN",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286900",
            "telephone_number": "970-342-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKLUND",
        "first_name": "ALISSA",
        "middle_name": "HAYS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "PSY.0004045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEMBER NATHIONAL PROVIDER IDENTIFIER",
            "identifier": "1821031956",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wholeness Medical Services LLC
• Wiarda Optometry, PLLC
• Noah Cole Wiarda, O.D.
• Kathryn Wick, PA-C
• Trevor Wicken
• Erika H Wicks, P.A.-C
• Rowan Wicks, PMHNP-BC
• Eric Walton Wideman
• Barbara Widom, M.D.
• Mason Wiebe, PA-C

• Clinical Neuropsychologist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Clinical Neuropsychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.