WILDWELL PSYCHIATRY PLLC NPI 1457142747

NPI Information

  • NPI: 1457142747
  • Provider Name: WILDWELL PSYCHIATRY, PLLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 16 MAIN STREET
    SEAL HARBOR, ME
    ZIP 04675
  • Phone: (207) 835-1242

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NPI Details

WILDWELL PSYCHIATRY, PLLC is a mental health (including community mental health center) clinic center in Seal Harbor, ME. WILDWELL PSYCHIATRY, PLLC NPI is 1457142747. The provider is registered as an organization entity type.

The provider's business location address is:

16 MAIN STREET
SEAL HARBOR, ME
ZIP 04675
Phone: (207) 835-1242
Fax: (207) 834-2332

The provider's authorized official is Lauren Manning .
The authorized official title is Founding Psychiatrist and has the following contact phone number (207) 835-1242.

The enumeration date for this NPI number is 5/15/2025 and was last updated on 5/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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