MARCUS WILD PHD
NPI 1265271159
Psychologist - Clinical in Waco, TX

Q: What is Marcus Wild's NPI number?

The NPI number for Marcus Wild is 1265271159. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Q: What is Marcus Wild's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Marcus Wild was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 21, 2024

4800 MEMORIAL DR BLDG 93, WACO, TX 76711(254) 297-3747 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Marcus Wild Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARCUS WILD PHD (NPI 1265271159) is an individual clinical provider in Waco, Texas, licensed in Texas (40050) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1265271159

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMARCUS WILDCredential: PHD

Location Address4800 MEMORIAL DR BLDG 93Waco, TX 76711-1329

Mailing Address4800 Memorial Dr Bldg 93Waco, TX 76711-1329 · (254) 297-3747

Phone(254) 297-3747

Sole ProprietorNo

Enumeration DateMay 21, 2024

NPPES CertifiedMay 21, 2024

✔ NPI 1265271159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TX · 40050

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4800 MEMORIAL DR BLDG 93, Waco, TX 76711

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marcus Wild's NPI number?

The NPI number for Marcus Wild is 1265271159. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Where is Marcus Wild located?

Marcus Wild practices at 4800 Memorial Dr Bldg 93, Waco, TX 76711. The listed phone number is (254) 297-3747.

What is Marcus Wild's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Marcus Wild was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.