Jack Wildwood, PHD
NPI 1205317906 · Mental Health Counselor · Morrisville, VT
Jack Wildwood, PHD is a Mental Health Counselor provider in Morrisville, VT (NPI 1205317906).
Provider details
- NPI number
- 1205317906
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 097.0135245 (VT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-08-22
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Frequently asked questions
- What is Jack Wildwood's NPI number?
- Jack Wildwood's National Provider Identifier (NPI) is 1205317906, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Wildwood's specialty?
- Jack Wildwood is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jack Wildwood located?
- Jack Wildwood's practice location on file with NPPES is 133 Gallery Ln, Morrisville, VT 05661-9057.
- What is Jack Wildwood's phone number?
- The practice phone number listed in the NPPES registry for Jack Wildwood is (802) 505-9044.
- Is Jack Wildwood's NPI active?
- Yes — Jack Wildwood's NPI (1205317906) is active in the NPPES registry as of the last update on 2025-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.