OrganizationActive
Odonata Psychotherapy & Retreat Center LLC
NPI 1902285414 · Clinical Social Worker · Buzzards Bay, MA
Provider details
- NPI number
- 1902285414
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Nancy Wiley, Owner(774) 247-4939
- License
- 118383 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Fax: (774) 302-4419
Street-level locationGet directions
Mailing address
121 Main St
Buzzards Bay, MA 02532-3245
Registry dates
- Enumerated
- 2015-05-29
- 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.