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WILDWOOD BEHAVIORAL HEALTH, LLC
NPI 1366115552
Clinic/Center - Mental Health (Including Community Mental Health Center) in Madison, CT

Active since July 26, 2021
1250 DURHAM RD STE F, MADISON, CT 06443(203) 421-6372(203) 421-2090 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2022, Jul 26, 2021 (2 updates tracked since 2021).

About Wildwood Behavioral Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILDWOOD BEHAVIORAL HEALTH, LLC (NPI 1366115552) is a healthcare organization registered as a mental health (including community mental health center) in Madison, Connecticut and active in the NPI registry since July 2021. The organization maintains a secondary practice location in Madison and lists Matthew Gallup, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1366115552
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameWILDWOOD BEHAVIORAL HEALTH, LLC
Location Address1250 DURHAM RD STE FMadison, CT 06443-8015
Mailing Address1250 Durham Rd Ste FMadison, CT 06443-8015 · (203) 421-6372 · Fax (203) 421-2090
Phone(203) 421-6372
Fax(203) 421-2090
Organization SubpartNo
Authorized OfficialMatthew GallupDirector Of Operations · (617) 905-1269
Enumeration DateJuly 26, 2021
Last NPPES UpdateJuly 29, 20222 updates tracked since enumeration
NPPES CertifiedJuly 29, 2022
✔ NPI 1366115552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
1250 DURHAM RD STE F, Madison, CT 06443
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Secondary Practice Location 1

Location 11250 Durham Rd Ste FMadison, CT 06443-8015 · Phone (203) 421-6372 · Fax (203) 421-2090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wildwood Behavioral Health, LLC's NPI number?

The NPI number for Wildwood Behavioral Health, LLC is 1366115552. It was assigned to this organization in the NPPES registry on July 26, 2021.

Where is Wildwood Behavioral Health, LLC located?

Wildwood Behavioral Health, LLC is located at 1250 Durham Rd Ste F, Madison, CT 06443. The listed phone number is (203) 421-6372.

What is Wildwood Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Wildwood Behavioral Health, LLC was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.