ODONATA PSYCHOTHERAPY & RETREAT CENTER LLC
NPI 1689090862
Counselor - Mental Health in Buzzards Bay, MA

Q: What is Odonata Psychotherapy & Retreat Center LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since March 11, 2014

121 MAIN ST, BUZZARDS BAY, MA 02532(774) 247-4939 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Odonata Psychotherapy & Retreat Center Llc NPPES

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

ODONATA PSYCHOTHERAPY & RETREAT CENTER LLC (NPI 1689090862) is a healthcare organization registered as a mental health in Buzzards Bay, Massachusetts and active in the NPI registry since March 2014. The organization lists Nancy C Wiley, Owner, as its authorized official.

NPPES Registry Identity

NPI1689090862

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameODONATA PSYCHOTHERAPY & RETREAT CENTER LLC

Location Address121 MAIN STBuzzards Bay, MA 02532

Mailing Address19 Pine RdForestdale, MA 02644-1413 · (774) 247-4939 · Fax (774) 302-4419

Phone(774) 247-4939

Organization SubpartNo

Authorized OfficialNancy C WileyOwner · (774) 247-4939

Enumeration DateMarch 11, 2014

Last NPPES UpdateAugust 15, 2018

✔ NPI 1689090862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

121 MAIN ST, Buzzards Bay, MA 02532

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Other Identifiers 1

Medicaid110101319AMA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY KRAMER LCSW

Social Worker

121 MAIN ST
BUZZARDS BAY, MA 02532

Barnstable County (774) 247-4939

JODI L STAPLER BSED, CP

Counselor

121 MAIN ST
BUZZARDS BAY, MA 02532

Barnstable County (747) 247-4939

ODONATA PSYCHOTHERAPY & RETREAT CENTER LLC

Social Worker (Clinical)

121 MAIN ST
BUZZARDS BAY, MA 02532

Barnstable County (774) 247-4939

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 Odonata Psychotherapy & Retreat Center LLC's NPI number?

The NPI number for Odonata Psychotherapy & Retreat Center LLC is 1689090862. It was assigned to this organization in the NPPES registry on March 11, 2014.

Where is Odonata Psychotherapy & Retreat Center LLC located?

Odonata Psychotherapy & Retreat Center LLC is located at 121 Main St, Buzzards Bay, MA 02532. The listed phone number is (774) 247-4939.

What is Odonata Psychotherapy & Retreat Center LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Odonata Psychotherapy & Retreat Center LLC was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.