Wilbraham Psychiatric Services PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WILBRAHAM PSYCHIATRIC SERVICES PLLC

Practice address

867 Boylston Street
5TH Floor #1334
Boston, MA 02116

Phone

(617) 362-6848

NPI assigned

Apr 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tracy J Wilbraham, NPNPI 1063499168

Title

Owner/Managing Provider

Phone

(617) 362-6848

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy J Wilbraham, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Newburyport, MA
  • NPI 1063499168
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1184410300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 BOYLSTON STREET",
            "address_2": "5TH FLOOR #1334",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02116",
            "telephone_number": "617-362-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 BOYLSTON STREET",
            "address_2": "5TH FLOOR #1334",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02116",
            "telephone_number": "617-362-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBRAHAM PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "WILBRAHAM",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MANAGING PROVIDER",
        "authorized_official_telephone_number": "617-362-6848",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Wigon, LCSW
• Christiaan Wijers
• Rohan C. Wijewickrama, M.D.
• Richard A Wiklund, MD
• Paul V Wikstrom, LICSW
• David Curtis Wilbur, MD
• Kaitlyn Wilbur, PSY.D.
• Kelsey Wilchynski, PA-C
• Lorna Wilcox-Gollop, RN
• Douglas Robert Wilcox, MD, PHD

• Psychiatric/Mental Health Nurse Practitioner in Boston, MA
• Providers in Boston, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.