National Provider Identifier
Nikolas Sandquist Wilde, PA-C
Nikolas Sandquist Wilde, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (505) 500-5093.
Source: public NPPES record, last updated May 14, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1770263469
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 19, 2023
- Last Updated
- May 14, 2024
Practice Location
- 800 Washington St
- Boston, MA 02111-1552
Phone: (505) 500-5093
Mailing Address
- 360 US Highway 1 Byp Unit 102
- Portsmouth, NH 03801-7105
Specialties
- Physician Assistant (363A00000X)
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Biography
Nikolas Wilde is a board-certified PA-C with a focus in outpatient psychiatry and mental health care. Geode Health lists him among its Chicago psychiatry providers, and his public profiles describe special interests in LGBTQ+ care, gender identity, trauma, mood and anxiety symptoms, and ADHD. He completed physician assistant training at Arcadia University, where his 2023 capstone examined psilocybin in psychiatric disorders.
Full Record
- NPI
- 1770263469
- Entity Type
- Individual
- Last Name
- Wilde
- First Name
- Nikolas
- Middle Name
- Sandquist
- Credential
- PA-C
- Mailing Street Address
- 360 US Highway 1 Byp Unit 102
- Mailing City
- Portsmouth
- Mailing State
- NH
- Mailing ZIP Code
- 03801-7105
- Mailing Country
- US
- Mailing Phone
- (603) 410-6700
- Mailing Fax
- (603) 319-8308
- Practice Street Address
- 800 Washington St
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02111-1552
- Practice Country
- US
- Practice Phone
- (505) 500-5093
- Enumeration Date
- July 19, 2023
- Last Updated
- May 14, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- May 14, 2024
- Taxonomies
- Physician Assistant (363A00000X)