WILD BLOOMS THERAPY LLC
NPI 1811554470
Psychologist - Clinical in Canton, MI

Active since May 20, 2019
5840 N CANTON CENTER RD STE 282, CANTON, MI 48187(734) 905-0940(734) 357-0766 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2021, Aug 30, 2019, May 20, 2019 (3 updates tracked since 2019).

About Wild Blooms Therapy Llc NPPES

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

WILD BLOOMS THERAPY LLC (NPI 1811554470) is a healthcare organization registered as a clinical in Canton, Michigan and active in the NPI registry since May 2019. The organization lists Nausheen Masood, Director, as its authorized official.

NPPES Registry Identity

NPI1811554470
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameWILD BLOOMS THERAPY LLC
Location Address5840 N CANTON CENTER RD STE 282Canton, MI 48187-2614
Mailing Address5840 N Canton Center Rd Ste 282Canton, MI 48187-2614 · (734) 905-0940 · Fax (734) 357-0766
Fax(734) 357-0766
Organization SubpartNo
Authorized OfficialNausheen MasoodDirector · (734) 709-4259
Enumeration DateMay 20, 2019
Last NPPES UpdateFebruary 10, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
NPI 1811554470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X
5840 N CANTON CENTER RD STE 282, Canton, MI 48187

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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 (Clinical)
5840 N CANTON CENTER RD STE 282
CANTON, MI 48187

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 Blooms Therapy LLC's NPI number?

The NPI number for Wild Blooms Therapy LLC is 1811554470. It was assigned to this organization in the NPPES registry on May 20, 2019.

Where is Wild Blooms Therapy LLC located?

Wild Blooms Therapy LLC is located at 5840 N Canton Center Rd Ste 282, Canton, MI 48187. The listed phone number is (734) 905-0940.

What is Wild Blooms Therapy LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Wild Blooms Therapy LLC accept?

Health plans from Blue Care Network of Michigan list Wild Blooms Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wild Blooms Therapy LLC was last updated on February 10, 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.