Cecilia Anne Wild, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209.019027 Issued in IL

Practice address

109 W 27TH St
Suite 5S
New York, NY 10001-6208

Phone

(888) 815-3583

Fax

(888) 815-3583

NPI assigned

Mar 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cecilia Anne Quigley Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• MCCD FL Psychiatry Services PA

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1659003457

  IL

  Medicare reassignment Care Compare group NPD
• MCCD Psychiatry Services PLLC

  • Psychiatry Physician
  • New York, NY
  • NPI 1033750823
  NPD (past)

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1912466756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15164 EYRE CIR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442433",
            "telephone_number": "630-589-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST",
            "address_2": "SUITE 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016208",
            "telephone_number": "888-815-3583",
            "fax_number": "888-815-3583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 S Adams St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044404",
            "country_code": "US",
            "telephone_number": "833-484-6359",
            "fax_number": "817-764-0684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2310 N 7TH AVE",
            "address_2": "SUITE A PRIVATE OFFICE 122",
            "address_purpose": "LOCATION",
            "city": "BOZMAN",
            "state": "MT",
            "postal_code": "59715",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 TRAFALGAR SQUARE",
            "address_2": "SUITE 487",
            "address_purpose": "LOCATION",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03063",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9620 NE TANASBOURNE DRIVE",
            "address_2": "SUITE 300",
            "address_purpose": "LOCATION",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "97124",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4435 E. Chandler Blvd",
            "address_2": "Suite 200 private office 222",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85048",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 N Randolph St",
            "address_2": "2nd floor Private office 246",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "61820",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILD",
        "first_name": "CECILIA",
        "middle_name": "ANNE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2025-05-08",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.019027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cecilia.quigley@eehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "24600 W 127th St Ste B325",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605859527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CECILIA",
            "last_name": "QUIGLEY",
            "middle_name": "ANNE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diana Wilcox, DSW
• Jessica Alice Wilcox
• Tanya Wilcox
• Wendy C Wilcox, MD
• Kaitlin Wilczewski
• Dayle Wild, LCSW-R
• Harris Brett Wild, DO
• Renee Dobkin Wild, D.D.S.
• Sarah Wilda, LCSW
• Wildcat Service Corporation

• Psychiatric/Mental Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.