OrganizationActive
Wild Mind Therapy PLLC
NPI 1437965100 · Clinical Social Worker · Wilson, NY
Wild Mind Therapy PLLC is a Clinical Social Worker organization in Wilson, NY (NPI 1437965100).
Provider details
- NPI number
- 1437965100
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Debra Wrazin, President(716) 727-8803
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
4648 Ide Rd
Wilson, NY 14172-9758
Phone: (716) 727-8803
Street-level locationGet directions
Mailing address
4662 Ide Rd
Wilson, NY 14172-9758
Registry dates
- Enumerated
- 2024-12-09
- Last updated
- 2024-12-09
- Certified
- 2024-11-17
Frequently asked questions
- What is Wild Mind Therapy PLLC's NPI number?
- Wild Mind Therapy PLLC's National Provider Identifier (NPI) is 1437965100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wild Mind Therapy PLLC?
- Wild Mind Therapy PLLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Wild Mind Therapy PLLC located?
- Wild Mind Therapy PLLC's practice location on file with NPPES is 4648 Ide Rd, Wilson, NY 14172-9758.
- What is Wild Mind Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Wild Mind Therapy PLLC is (716) 727-8803.
- Who is the authorized official for Wild Mind Therapy PLLC?
- The authorized official listed on Wild Mind Therapy PLLC's NPPES record is Debra Wrazin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wild Mind Therapy PLLC's NPI active?
- Yes — Wild Mind Therapy PLLC's NPI (1437965100) is active in the NPPES registry as of the last update on 2024-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.