Wisconsin Institute for Learning Disabilities/Dyslexia Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

WISCONSIN INSTITUTE FOR LEARNING DISABILITIES/DYSLEXIA INC.

Doing business as

Wildd

Practice address

811 E Washington Ave Ste 400
Madison, WI 53703-4028

Phone

(608) 371-9602

NPI assigned

Jan 21, 2025

Last updated

Jan 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ervin Allen Carpenter

Title

Executive Director

Phone

(608) 371-9621

Specialties & licenses 1

Addresses

Other names 1

• WILDD Doing business as

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1881406593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E WASHINGTON AVE STE 400",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034028",
            "telephone_number": "608-371-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E WASHINGTON AVE STE 400",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034028",
            "telephone_number": "608-371-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN INSTITUTE FOR LEARNING DISABILITIES/DYSLEXIA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "ERVIN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "608-371-9621",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILDD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.