KIERSTEN ANNE WILDE MA
NPI 1881318079
Psychologist in Detroit, MI

Active since September 30, 2022
645 GRISWOLD ST, DETROIT, MI 48226(734) 489-1455 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kiersten Anne Wilde Ma NPPES

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

KIERSTEN ANNE WILDE MA (NPI 1881318079) is an individual psychologist in Detroit, Michigan and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1881318079
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKIERSTEN ANNE WILDECredential: MA
Location Address645 GRISWOLD STDetroit, MI 48226-4105
Mailing Address645 Griswold StDetroit, MI 48226-4105 · (734) 489-1455
Sole ProprietorNo
Enumeration DateSeptember 30, 2022
NPPES CertifiedSeptember 30, 2022
NPI 1881318079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

645 GRISWOLD ST, Detroit, MI 48226

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
645 GRISWOLD ST
DETROIT, MI 48226
Preferred Provider Organization
645 GRISWOLD ST, SUITE 224
DETROIT, MI 48226
Clinic/Center (Dental)
645 GRISWOLD ST, ST 224
DETROIT, MI 48226

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 Kiersten Wilde's NPI number?

The NPI number for Kiersten Wilde is 1881318079. It was assigned to this individual provider in the NPPES registry on September 30, 2022.

Where is Kiersten Wilde located?

Kiersten Wilde practices at 645 Griswold St, Detroit, MI 48226. The listed phone number is (734) 489-1455.

What is Kiersten Wilde's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Kiersten Wilde was last updated on September 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.