SHANNON WILD
NPI 1861750747
Community/Behavioral Health in Royal Oak, MI

Active since April 27, 2012
1110 CATALPA DR, ROYAL OAK, MI 48067(248) 971-0383 Get Directions Write a Review

NPPES record last updated: April 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Wild NPPES

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

SHANNON WILD (NPI 1861750747) is an individual community/behavioral health provider in Royal Oak, Michigan and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1861750747
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameSHANNON WILD
Location Address1110 CATALPA DRRoyal Oak, MI 48067-1125
Mailing Address37690 Charter Oaks BlvdClinton Township, MI 48036-2424
Sole ProprietorYes
Enumeration DateApril 27, 2012
NPI 1861750747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1110 CATALPA DR, Royal Oak, MI 48067

Other Providers at the Same Location NPPES 5

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

Massage Therapist
1110 CATALPA DR
ROYAL OAK, MI 48067
Social Worker (Clinical)
1110 CATALPA DR
ROYAL OAK, MI 48067
Counselor (Mental Health)
1110 CATALPA DR
ROYAL OAK, MI 48067
Massage Therapist
1110 CATALPA DR
ROYAL OAK, MI 48067
Psychologist
1110 CATALPA DR
ROYAL OAK, MI 48067

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 Shannon Wild's NPI number?

The NPI number for Shannon Wild is 1861750747. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Where is Shannon Wild located?

Shannon Wild practices at 1110 Catalpa Dr, Royal Oak, MI 48067. The listed phone number is (248) 971-0383.

What is Shannon Wild's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Shannon Wild was last updated on April 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.