OrganizationActive
Odonata Psychotherapy & Retreat Center LLC
NPI 1689090862 · Mental Health Counselor · Buzzards Bay, MA
Provider details
- NPI number
- 1689090862
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Nancy Wiley, Owner(774) 247-4939
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
121 Main St
Buzzards Bay, MA 02532
Phone: (774) 247-4939
Street-level locationGet directions
Mailing address
19 Pine Rd
Forestdale, MA 02644-1413
Registry dates
- Enumerated
- 2014-03-11
- Last updated
- 2018-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.