Wild Heart Society PLLC
NPI 1700344298 · Adolescent and Children Mental Health Clinic/Center · Vancouver, WA
Wild Heart Society PLLC is a Adolescent and Children Mental Health Clinic/Center organization in Vancouver, WA (NPI 1700344298).
Provider details
- NPI number
- 1700344298
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mackenzie Dunham, Partner/Therapist(360) 521-3055
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
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
- 2019-03-04
- Last updated
- 2019-03-04
Frequently asked questions
- What is Wild Heart Society PLLC's NPI number?
- Wild Heart Society PLLC's National Provider Identifier (NPI) is 1700344298, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wild Heart Society PLLC?
- Wild Heart Society PLLC is classified in the NPPES registry as Adolescent and Children Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wild Heart Society PLLC located?
- Wild Heart Society PLLC's practice location on file with NPPES is 15604 Ne 28th Ave, Vancouver, WA 98686-1541.
- What is Wild Heart Society PLLC's phone number?
- The practice phone number listed in the NPPES registry for Wild Heart Society PLLC is (360) 521-3055.
- Who is the authorized official for Wild Heart Society PLLC?
- The authorized official listed on Wild Heart Society PLLC's NPPES record is Mackenzie Dunham, Partner/Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wild Heart Society PLLC's NPI active?
- Yes — Wild Heart Society PLLC's NPI (1700344298) is active in the NPPES registry as of the last update on 2019-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.