OrganizationActive
Wildwood Cottage
NPI 1770757841 · Intellectual & Developmental Disabilities Psychologist · Raytown, MO
Provider details
- NPI number
- 1770757841
- Entity type
- Organization
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Parent organization
- Kmw,inc.
- Organization subpart
- Yes
- Authorized official
- Virginia Morgan, Administrator-Owner(816) 353-5274
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
11212 E 71st St
Raytown, MO 64133-6801
Phone: (816) 353-5274
Fax: (816) 353-1226
Street-level locationGet directions
Mailing address
11212 E 71st St
Raytown, MO 64133-6801
Registry dates
- Enumerated
- 2008-04-18
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.