Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Charleen Wilder

Psychologist β€’ Addison, TX

Active NPI 1356727879 Individual Practitioner Female Practitioner
Practice location in NPPES

14275 Midway Rd Ste 260
Addison, TX 750013613

Call 4696659445 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

14275 Midway Rd Ste 260

Addison, TX 750013613

Telephone 4696659445
Organization at the Same NPPES Address or Phone
Gayle Psychology Pllc Facility NPI 1174289102

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Addison and Texas

9 active clinicians are listed under Psychologist with a practice address in Addison, TX (2,141 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-09-30
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Business Mailing Address September 30, 2020

Registered at 1255 W 15TH ST STE 320, PLANO, TX 750757275 (Tel: 7047294522)

πŸ“
Updated Practice Location July 29, 2019

Registered at 14275 MIDWAY RD STE 260, ADDISON, TX 750013613 (Tel: 4696659445)

πŸ“
Updated Business Mailing Address July 29, 2019

Registered at 14275 MIDWAY RD STE 260, ADDISON, TX 750013613 (Tel: 7047294522)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2019

Psychologist

βœ…
NPI Profile Active August 06, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 06, 2015

Registered at 1400 S GRAND AVE, SUITE 600, LOS ANGELES, CA 900153048 (Tel: 2137426250)

πŸ“
Business Mailing Address (Initial Record) August 06, 2015

Registered at 1400 S GRAND AVE, SUITE 600, LOS ANGELES, CA 900153048 (Tel: 2137426250)

πŸ‘€
Provider Name / Credentials (Initial Record) August 06, 2015

Recorded as CHARLEEN WILDER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2015

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 06, 2015

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1356727879
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2015
Last Update: September 30, 2020
Sole Proprietor: No

Mailing Address

1255 W 15th St Ste 320

Plano, TX 750757275

Phone: 7047294522

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.