Wild Blooms Therapy LLC
NPI 1811554470ActiveOrganization· Psychologist, Clinical· Canton, MI
Psychologist, Clinical in Canton, Michigan, registered in NPPES in May 2019. The authorized official on file is Nausheen Masood, PHD, Director.
Overview
| NPI | 1811554470 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 20, 2019 |
| Last updated in NPPES | Feb 10, 2021 |
| Certified by provider | Feb 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Psychologist, Adult Development & Aging | 103TA0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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