WILD SAGE PSYCHIATRY, LLC
NPI 1730030602
Nurse Practitioner - Psychiatric/Mental Health in Port Townsend, WA

Active since February 06, 2026
210 POLK ST STE 4B, PORT TOWNSEND, WA 98368(360) 390-2701(360) 443-5045 Get Directions Write a Review

NPPES record last updated: March 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2026, Feb 6, 2026 (2 updates tracked since 2026).

About Wild Sage Psychiatry, Llc NPPES

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

WILD SAGE PSYCHIATRY, LLC (NPI 1730030602) is a healthcare organization registered as a psychiatric/mental health in Port Townsend, Washington and active in the NPI registry since February 2026. The organization lists Moniquea Jean Degan, Owner, as its authorized official.

NPPES Registry Identity

NPI1730030602
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameWILD SAGE PSYCHIATRY, LLC
Location Address210 POLK ST STE 4BPort Townsend, WA 98368-6739
Mailing Address210 Polk St Ste 4bPort Townsend, WA 98368-6739 · (360) 390-2701 · Fax (360) 443-5045
Fax(360) 443-5045
Organization SubpartNo
Authorized OfficialMoniquea Jean DeganOwner · (360) 390-2701
Enumeration DateFebruary 6, 2026
Last NPPES UpdateMarch 7, 20262 updates tracked since enumeration
NPPES CertifiedMarch 7, 2026
NPI 1730030602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
210 POLK ST STE 4B, Port Townsend, WA 98368

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.

Nurse Practitioner (Psychiatric/Mental Health)
210 POLK ST STE 4B
PORT TOWNSEND, WA 98368

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 Wild Sage Psychiatry, LLC's NPI number?

The NPI number for Wild Sage Psychiatry, LLC is 1730030602. It was assigned to this organization in the NPPES registry on February 6, 2026.

Where is Wild Sage Psychiatry, LLC located?

Wild Sage Psychiatry, LLC is located at 210 Polk St Ste 4B, Port Townsend, WA 98368. The listed phone number is (360) 390-2701.

What is Wild Sage Psychiatry, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Wild Sage Psychiatry, LLC was last updated on March 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.