DR. SUSAN MARIE WILDE PSY.D.
NPI 1710131008
Psychologist - Clinical in Albany, CA

NPI Status: Active since November 13, 2008

Contact Information

1035 SAN PABLO AVE
SUITE 8
ALBANY, CA
ZIP 94706
Phone: (510) 978-0221

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  • Individual
  • Female
  • Psychologist
  • Clinical

About SUSAN WILDE

This page provides the complete NPI Profile along with additional information for Susan Wilde, a provider established in Albany, California with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1710131008 assigned on November 2008. The practitioner's primary taxonomy code is 103TC0700X with license number PSY19673 (CA). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1710131008
Provider Name
DR. SUSAN MARIE WILDE PSY.D.
Gender
Female
Entity Type
Individual
Location Address
1035 SAN PABLO AVE SUITE 8 ALBANY, CA 94706
Location Phone
(510) 978-0221
Mailing Address
1035 SAN PABLO AVE SUITE 8 ALBANY, CA 94706
Mailing Phone
(510) 978-0221
Is Sole Proprietor?
Yes
Enumeration Date
11-13-2008
Last Update Date
11-13-2008
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A clinical psychologist like Susan Wilde assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PSY19673
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TA0400XBehavioral Health & Social Service Providers

Psychologist
Addiction (Substance Use Disorder)

PSY19673 (CA)
2103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

PSY19673 (CA)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710131008
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272023200
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 2 + 3 + 2 + 0 + 0 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1710131008 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

MRS. SHEILA JACOBS MFT

Marriage & Family Therapist

1035 SAN PABLO AVE
SUITE 5
ALBANY, CA
ZIP 94706

(510) 528-9869

MS. MARJORIE SCHWARTZ LCSW

Social Worker

(Clinical)

1035 SAN PABLO AVE
STE. #5
ALBANY, CA
ZIP 94706

(510) 528-4230

LILLIE BRUM MFT 8571

Marriage & Family Therapist

1035 SAN PABLO AVE
#9
ALBANY, CA
ZIP 94706

(510) 524-6185

DR. MARIA BAKA KEROSKY PH.D.

Clinical Neuropsychologist

1035 SAN PABLO AVE
STE. 5
ALBANY, CA
ZIP 94706

(510) 749-1389

DR. ROBERT AVENSON PH.D.

Psychologist

(Clinical)

1035 SAN PABLO AVE
SUITE 5
ALBANY, CA
ZIP 94706

(510) 527-9767

MRS. KIRSTEN MEADOWS MFT

Marriage & Family Therapist

1035 SAN PABLO AVE
SUITE 5
ALBANY, CA
ZIP 94706

(510) 287-8900

YVONNE MANSELL MFT

Marriage & Family Therapist

1035 SAN PABLO AVE
SUITE 5
ALBANY, CA
ZIP 94706

(510) 528-9551

TAYLORED SHOES

Durable Medical Equipment & Medical Supplies

1035 SAN PABLO AVE
SUIT 8
ALBANY, CA
ZIP 94706

(707) 290-0627

KEITH J TAYLOR

Specialist

1035 SAN PABLO AVE
STE 8
ALBANY, CA
ZIP 94706

(510) 559-2000

MS. LISA ANN TURETSKY M.A., LMFT

Marriage & Family Therapist

1035 SAN PABLO AVE
SUITE 9
ALBANY, CA
ZIP 94706

(510) 277-0455

DR. JOHN EDWARD PETERS PHD

Psychologist

(Clinical)

1035 SAN PABLO AVE
#5
ALBANY, CA
ZIP 94706

(800) 548-2034

SARAH ELIZABETH CHURCH LIEBMAN MFT

Marriage & Family Therapist

1035 SAN PABLO AVE
SUITE 5
ALBANY, CA
ZIP 94706

(510) 292-7367

DR. ROBYN PAPATHAKIS SHANNON PSYD

Psychologist

(Clinical)

1035 SAN PABLO AVE
ALBANY, CA
ZIP 94706

(415) 237-0377

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710131008, enumerated as an "individual" on November 13, 2008.

The provider is located at 1035 SAN PABLO AVE SUITE 8 ALBANY, CA 94706 and the phone number is (510) 978-0221.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.