SUSANNA WILDE PHD
NPI 1568570901
Psychologist in Troy, NY
About Susanna Wilde Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSANNA WILDE PHD (NPI 1568570901) is an individual psychologist in Troy, New York, licensed in New York (013092) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susanna Wilde Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Susanna Wilde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Troy, NY 12180
- Reassigned Medicare billing, New York enrollment
- 725 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
TROY, NY 12180
TROY, NY 12180
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 Susanna Wilde's NPI number?
The NPI number for Susanna Wilde is 1568570901. It was assigned to this individual provider in the NPPES registry on August 27, 2006.
Where is Susanna Wilde located?
Susanna Wilde practices at 2215 Burdett Ave Behavioral Health Dept, Troy, NY 12180. The listed phone number is (518) 271-3300.
What is Susanna Wilde's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Susanna Wilde enrolled in Medicare?
Yes. Susanna Wilde is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Susanna Wilde's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susanna Wilde reassigns Medicare benefits to Samaritan Hospital Of Troy, New York (Troy, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susanna Wilde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Susanna Wilde was last updated on September 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.