ROBINWILD INTEGRATED MEDICINE LLC
NPI 1700471133
Psychologist in Stone Mountain, GA

Active since March 08, 2021
507 WATSON BAY, STONE MOUNTAIN, GA 30087(678) 651-4022 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robinwild Integrated Medicine Llc NPPES

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

ROBINWILD INTEGRATED MEDICINE LLC (NPI 1700471133) is a healthcare organization registered as a psychologist in Stone Mountain, Georgia and active in the NPI registry since March 2021. The organization lists Tiffani Wilder, Cfo, as its authorized official.

NPPES Registry Identity

NPI1700471133
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameROBINWILD INTEGRATED MEDICINE LLC
Location Address507 WATSON BAYStone Mountain, GA 30087-6121
Mailing Address507 Watson BayStone Mountain, GA 30087-6121 · (678) 651-4022
Organization SubpartNo
Authorized OfficialTiffani WilderCfo · (678) 651-4022
Enumeration DateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
NPI 1700471133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · FamilyTaxonomy 103TF0000X
Also ListedPsychologist · Prescribing (Medical)Taxonomy 103TP0016X
507 WATSON BAY, Stone Mountain, GA 30087

Other Names 1

Doing Business AsRobinwild Integrated Medicine Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Psychologist
507 WATSON BAY
STONE MOUNTAIN, GA 30087

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 Robinwild Integrated Medicine LLC's NPI number?

The NPI number for Robinwild Integrated Medicine LLC is 1700471133. It was assigned to this organization in the NPPES registry on March 8, 2021.

Where is Robinwild Integrated Medicine LLC located?

Robinwild Integrated Medicine LLC is located at 507 Watson Bay, Stone Mountain, GA 30087. The listed phone number is (678) 651-4022.

What is Robinwild Integrated Medicine LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Robinwild Integrated Medicine LLC was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.