KELLY WILDER-WILLIS, PHD LLC
NPI 1508047754
Clinical Neuropsychologist in Red Bank, NJ

Q: What is Kelly Wilder-Willis, Phd LLC's NPI number?

The NPI number for Kelly Wilder-Willis, Phd LLC is 1508047754. It was assigned to this organization in the NPPES registry on November 15, 2007.

Q: What is Kelly Wilder-Willis, Phd LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since November 15, 2007

51 HARRISON AVE, RED BANK, NJ 07701(732) 618-4950 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Wilder-willis, Phd Llc NPPES

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

KELLY WILDER-WILLIS, PHD LLC (NPI 1508047754) is a healthcare organization registered as a clinical neuropsychologist in Red Bank, New Jersey and active in the NPI registry since November 2007. The organization lists Kelly Elizabeth Wilder-willis, Owner, as its authorized official.

NPPES Registry Identity

NPI1508047754

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameKELLY WILDER-WILLIS, PHD LLC

Location Address51 HARRISON AVERed Bank, NJ 07701-2333

Mailing AddressPo Box 8264Red Bank, NJ 07701-8264 · (732) 618-4950

Phone(732) 618-4950

Organization SubpartNo

Authorized OfficialKelly Elizabeth Wilder-willisOwner · (732) 618-4950

Enumeration DateNovember 15, 2007

✔ NPI 1508047754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in NJ · 35SI00446400

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

51 HARRISON AVE, Red Bank, NJ 07701

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

KELLY WILDER-WILLIS PH.D.

Clinical Neuropsychologist

51 HARRISON AVE
RED BANK, NJ 07701

Monmouth County (732) 618-4950

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 Kelly Wilder-Willis, Phd LLC's NPI number?

The NPI number for Kelly Wilder-Willis, Phd LLC is 1508047754. It was assigned to this organization in the NPPES registry on November 15, 2007.

Where is Kelly Wilder-Willis, Phd LLC located?

Kelly Wilder-Willis, Phd LLC is located at 51 Harrison Ave, Red Bank, NJ 07701. The listed phone number is (732) 618-4950.

What is Kelly Wilder-Willis, Phd LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Kelly Wilder-Willis, Phd LLC was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.