SHANNON MARIE JOHNSON WILDER PH.D.
NPI 1972131621
Psychologist - Clinical in Topeka, KS

Q: What is Shannon Wilder's NPI number?

The NPI number for Shannon Wilder is 1972131621. It was assigned to this individual provider in the NPPES registry on March 30, 2020. The provider is also known as Shannon Marie Johnson.

Q: What is Shannon Wilder's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Wilder was last updated on March 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 March 30, 2020

2200 SW GAGE BLVD, TOPEKA, KS 66622(785) 350-3111 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shannon Marie Johnson Wilder Ph.d. NPPES

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

SHANNON MARIE JOHNSON WILDER PH.D. (NPI 1972131621) is an individual clinical provider in Topeka, Kansas, licensed in Wisconsin (377657) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1972131621

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSHANNON MARIE JOHNSON WILDERCredential: PH.D.

Location Address2200 SW GAGE BLVDTopeka, KS 66622-0001

Mailing Address2200 Sw Gage BlvdTopeka, KS 66622-0001

Phone(785) 350-3111

Sole ProprietorNo

Enumeration DateMarch 30, 2020

NPPES CertifiedMarch 30, 2020

✔ NPI 1972131621 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 WI · 377657

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.

2200 SW GAGE BLVD, Topeka, KS 66622

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Other Names 1

Former Name (1)Shannon Marie Johnson

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.

AMBER HENDERSON LPN

Prevention Professional