Wylie & Associates Behavioral Health LLC

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

209005228 Issued in IL

Legal business name

WYLIE & ASSOCIATES BEHAVIORAL HEALTH LLC

Practice address

118 S Seminary St
Collinsville, IL 62234-2634

Phone

(618) 855-8815

NPI assigned

Nov 14, 2016

Organization subpart

No

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

Authorized official

Name

Melanie Ann Wylie, RN MSN CNS APN

Title

Apn Manager

Phone

(618) 593-0134

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1891237434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SEMINARY STREET",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "62234",
            "telephone_number": "618-855-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S SEMINARY ST",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622342634",
            "telephone_number": "618-855-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYLIE & ASSOCIATES BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "WYLIE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "APN MANAGER",
        "authorized_official_telephone_number": "618-593-0134",
        "authorized_official_credential": "RN MSN CNS APN"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "IL",
            "license": "209005228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI MELANIE WYLIE",
            "identifier": "1083735443",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Audy Williams, O.D.
• Laura Ann Wilson, FNP-C
• Heather Leanne Wohl, MSW, LCSW
• Marilyn Adele Woods
• Nachelle Work, RT(R)(T)(CT)
• Ronald A Zambaldi, DMD
• Patrick Zimmermann, M.D.

• Prescribing (Medical) Psychologist in Collinsville, IL
• Providers in Collinsville, IL by specialty
• Prescribing (Medical) Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.