DAVID WILDE (NPI# 1013182658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013182658 |
| Entity Type | Individual |
| Full Name | DAVID WILDE |
| Practice Address |
914 Mission Ave 3rd Floor San Rafael CA 94901-6106 |
| Practice Telephone | 4154576964 |
| Mailing Telephone | 4154576964 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669785440 | David Jonathan Wilde | Counselor | 10038 S Countrywood Dr, Sandy, UT 84092 | 2010-07-21 |
| 1982786463 | David S Wilde | Social Worker | 4 Terry Drive, The Atrium, Suite 17a, Newtown, PA 18940 | 2006-10-20 |
| 1184253270 | David J Wilde | Student in an Organized Health Care Education/Training Program | 9330 State Road 54, Trinity, FL 34655-1808 | 2020-04-02 |
| 1477015246 | David Chamberlayne Wilde Jr. | Student in an Organized Health Care Education/Training Program | 1504 Ben Taub Loop, Houston, TX 77030 | 2019-04-02 |
| 1225471352 | David Brian Wilde | General Practice | 6701 Democracy Blvd, Room 911, Bethesda, MD 20892-4874 | 2013-04-08 |
| 1467581363 | David N Wilde | Counselor | 12166 Old Big Bend Rd, Ste 307, Saint Louis, MO 63122-6844 | 2007-03-05 |
| Street Address |
914 MISSION AVE 3RD FLOOR |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-6106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972688927 | Eric Scott Roberts | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2006-10-26 |
| 1780132076 | Ignacio Gallegos Jr. | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2016-09-14 |
| 1568731131 | Sacha C Mcgowan | Counselor | 914 Mission Ave, San Rafael, CA 94901-6106 | 2011-12-27 |
| 1396055729 | Mischelle Williamson | Counselor | 914 Mission Ave, 3 Rd Floor, San Rafael, CA 94901 | 2010-10-19 |
| 1417276403 | John Daniel Heibel | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-05-31 |
| 1619290376 | Buckelew Programs | Community/Behavioral Health | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-03-10 |
| 1073845590 | Susan Jane Thomas-sampson | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-02-09 |
| 1891026670 | Patricia Barret | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-01-19 |
| 1467783415 | Kalia Lynn Chan | Counselor | 914 Mission Ave, San Rafael, CA 94901-6106 | 2010-01-14 |
| 1669702221 | Kristina Aileen Danz | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851830483 | Bea Ivory-chambers | Counselor | 1330 Lincoln Ave Ste 202b, San Rafael, CA 94901-2142 | 2017-02-15 |
| 1932559069 | Julia Prentice | Counselor | 920 Cresta Way, #6, San Rafael, CA 94903-5573 | 2016-06-20 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1033528575 | Diane Louise Ray | Counselor | 4 Majorca Ct, San Rafael, CA 94903-1520 | 2014-08-08 |
| 1487072542 | Julie Lehman | Counselor | 1717 5th Ave Ste E, San Rafael, CA 94901-1810 | 2014-04-04 |
| 1073867081 | Lisa Ann Kubiak | Counselor | 900 Mission Ave, San Rafael, CA 94901-6108 | 2012-10-30 |
| 1740530815 | Deborah Ann Spake | Counselor | 712 D St. Suite P, San Rafael, CA 94901 | 2012-09-14 |
| 1386993210 | Sarah Tischler Aikin | Counselor | 555 Northgate Drive, Suite 100, Family Service Agency of Marin, San Rafael, CA 94903-3680 | 2012-09-06 |
| 1477810182 | Amanda Gloria Jean Conn | Counselor | 980 Lincoln Ave Ste 250, San Rafael, CA 94901-8802 | 2012-04-19 |
| 1558647487 | Katherine O Bregar | Counselor | 361 Third St. Suite G, San Rafael, CA 94901 | 2011-10-24 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on DAVID WILDE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.