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DR. TYLA WILDER
NPI 1598398992
Psychologist - Clinical in Green Bay, WI

Active since February 14, 2020
1575 ALLOUEZ AVE, GREEN BAY, WI 54311(303) 617-2300 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2026, Oct 24, 2023, Feb 14, 2020 (3 updates tracked since 2020).

About Dr. Tyla Wilder NPPES

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

DR. TYLA WILDER (NPI 1598398992) is an individual clinical provider in Green Bay, Wisconsin, licensed in Colorado (PSYC0001630503) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1598398992
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TYLA WILDER
Location Address1575 ALLOUEZ AVEGreen Bay, WI 54311-5625
Mailing Address1831 S Dunkirk StAurora, CO 80017-3282
Phone(303) 617-2300
Sole ProprietorNo
Enumeration DateFebruary 14, 2020
Last NPPES UpdateApril 6, 20263 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1598398992 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 CO · PSYC0001630503
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.
1575 ALLOUEZ AVE, Green Bay, WI 54311
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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.

KELSEY HARPER BCBA
Behavior Analyst
1575 ALLOUEZ AVE
GREEN BAY, WI 54311
Brown County (920) 857-9041
CHERI BURKART
Counselor (Professional)
1575 ALLOUEZ AVE
GREEN BAY, WI 54311
Brown County (920) 857-9041
CHELSEA E CARTER
Behavior Analyst
1575 ALLOUEZ AVE
GREEN BAY, WI 54311
Brown County (920) 857-9041
SHANTEL CROWNOVER MS
Behavior Analyst
1575 ALLOUEZ AVE
GREEN BAY, WI 54311
Brown County (920) 857-9041
CIERRA SMITH BCBA
Behavior Analyst
1575 ALLOUEZ AVE
GREEN BAY, WI 54311
Brown County (920) 857-9041
EMILY ROSKOM
Behavior Analyst
1575 ALLOUEZ AVE
GREEN BAY, WI 54311
Brown County (192) 036-7891
KAELA LEWIS
Counselor (Mental Health)
1575 ALLOUEZ AVE
GREEN BAY, WI 54311
Brown County (262) 737-8883
DR. MICHELLE VALENZUELA MS
Psychologist
1575 ALLOUEZ AVE
GREEN BAY, WI 54311
Brown County (920) 857-9041

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 Tyla Wilder's NPI number?

The NPI number for Tyla Wilder is 1598398992. It was assigned to this individual provider in the NPPES registry on February 14, 2020.

Where is Tyla Wilder located?

Tyla Wilder practices at 1575 Allouez Ave, Green Bay, WI 54311. The listed phone number is (303) 617-2300.

What is Tyla Wilder'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 Tyla Wilder was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.