Active NPI
Jami Wilder, PSY.D.
- Clinical Psychologist
- Cranston, RI
National Provider Identifier
1891125167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSO1419
- Practice address
- 63 Sockanosset Cross Rd
Suite 2A7
Cranston, RI 02920-5557 - Phone
- (401) 406-1101
- NPI assigned
- Nov 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSO1419 | RI | Primary |
Addresses
Primary practice location
63 Sockanosset Cross Rd
Suite 2A7
Cranston, RI 02920-5557
Mailing address
228 Dartmouth Woods Dr
Dartmouth, MA 02747-5116
Phone (513) 404-1122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSO1419 | RI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilder Therapy and Wellness LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- West Greenwich, RI
- NPI 1346664505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1891125167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 DARTMOUTH WOODS DR",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027475116",
"telephone_number": "513-404-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 SOCKANOSSET CROSS RD",
"address_2": "SUITE 2A7",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029205557",
"telephone_number": "401-406-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDER",
"first_name": "JAMI",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-22",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PSO1419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.