DR. SUSAN HOLLY WICKE M.D.
NPI 1912063900
Psychiatry & Neurology - Psychiatry in Durham, NC

Q: What is Susan Wicke's NPI number?

The NPI number for Susan Wicke is 1912063900. It was assigned to this individual provider in the NPPES registry on December 28, 2006. The provider is also known as Susan Wicke M.D..

Q: What is Susan Wicke's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Susan Wicke was last updated on July 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since December 28, 2006

112 SWIFT AVE, DURHAM, NC 27705(919) 308-6076(919) 308-6076 Get Directions Write a Review

NPPES record last updated: July 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Susan Holly Wicke M.d. NPPES

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

DR. SUSAN HOLLY WICKE M.D. (NPI 1912063900) is an individual psychiatry provider in Durham, North Carolina, licensed in North Carolina (36618) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1912063900

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. SUSAN HOLLY WICKECredential: M.D.

Location Address112 SWIFT AVEDurham, NC 27705

Mailing Address112 Swift AveDurham, NC 27705 · (919) 308-6076 · Fax (919) 308-6076

Phone(919) 308-6076

Fax(919) 308-6076

Sole ProprietorYes

Enumeration DateDecember 28, 2006

Last NPPES UpdateJuly 26, 2013

✔ NPI 1912063900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NC · 36618

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

112 SWIFT AVE, Durham, NC 27705

Open in Google Maps ↗

Other Names 1

Professional Name (2)Susan Wicke M.d.

Other Identifiers 2

Medicare UPINF58331NC

Medicare ID-Type Unspecified2188551ANC · Md

Other Providers at the Same Location NPPES 15

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

LOSS INTO TOPAZ: COUNSELING SPECIALIZING IN GRIEF AND PET LOSS, PLLC

Social Worker (Clinical)