P Praxis·MD
● Active Type 2 · Organization

Robinwild Integrated Medicine Llc

Psychologist·Stone Mountain, GA· NPI 1700471133 · Enumerated 2021 · 5 years on NPI
Robinwild Integrated Medicine Llc is 1 of 1114 psychologist organizations in Georgia.
NPI age
5 years
Enumerated 2021-03-08
Primary specialty
Psychologist
Plus 5 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilder
Cfo
Last NPPES update
2021-03-08
Source: monthly bulk 2026-05

How this organization compares

Across 1114 active psychologist providers in Georgia.

NPI age
5 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
5
In the 16% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-03Enumerated in NPPES
2021 2026

Where they practice

Primary practice location
507 Watson Bay
Stone Mountain, GA 300876121
📞 6786514022
Mailing address
507 Watson Bay
Stone Mountain, GA 300876121
📞 6786514022

Authorized official

Tiffani Wilder
Cfo
📞 6786514022

Specialties

  • Psychologist Primary
    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,...
    taxonomy 103T00000X
  • Counselor
    Definition to come...
    taxonomy 101YA0400X
  • Counselor
    Definition to come...
    taxonomy 101YM0800X
  • Psychologist
    A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral...
    taxonomy 103TA0400X
  • Psychologist
    A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.
    taxonomy 103TF0000X
  • Psychologist
    A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology...
    taxonomy 103TP0016X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Robinwild Integrated Medicine LLC
    Type code 3 recorded 2021-03-08

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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