MR. DAVID ALFRED WICKMAN ADDICTION THERAPIST
NPI 1396841839
Counselor - Addiction (Substance Use Disorder) in Appleton, WI

Active since September 15, 2006
10 TRI PARK WAY, APPLETON, WI 54914(920) 831-7908(920) 831-7984 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. David Alfred Wickman Addiction Therapist NPPES

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

MR. DAVID ALFRED WICKMAN ADDICTION THERAPIST (NPI 1396841839) is an individual addiction (substance use disorder) provider in Appleton, Wisconsin, licensed in Wisconsin (1624) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1396841839
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. DAVID ALFRED WICKMANCredential: ADDICTION THERAPIST
Location Address10 TRI PARK WAYAppleton, WI 54914-1658
Mailing Address1836 Preble AveGreen Bay, WI 54302-2937 · (920) 437-3863
Fax(920) 831-7984
Sole ProprietorNo
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1396841839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WI · 1624
10 TRI PARK WAY, Appleton, WI 54914

Other Identifiers 1

Other1624WI · Wis. Certification Board

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
10 TRI PARK WAY
APPLETON, WI 54914
Registered Nurse
10 TRI PARK WAY
APPLETON, WI 54914
Psychiatry & Neurology (Psychiatry)
10 TRI PARK WAY
APPLETON, WI 54914
Pharmacist (Psychiatric)
10 TRI PARK WAY
APPLETON, WI 54914
Internal Medicine
10 TRI PARK WAY
APPLETON, WI 54914
Registered Nurse (Ambulatory Care)
10 TRI PARK WAY
APPLETON, WI 54914
Registered Nurse
10 TRI PARK WAY
APPLETON, WI 54914
Internal Medicine
10 TRI PARK WAY
APPLETON, WI 54914

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 David Wickman's NPI number?

The NPI number for David Wickman is 1396841839. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is David Wickman located?

David Wickman practices at 10 Tri Park Way, Appleton, WI 54914. The listed phone number is (920) 831-7908.

What is David Wickman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for David Wickman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.