Wild Sage Psychiatry, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WILD SAGE PSYCHIATRY, LLC

Practice address

210 Polk St Ste 4B
Port Townsend, WA 98368-6739

Phone

(360) 390-2701

Fax

(360) 443-5045

NPI assigned

Feb 6, 2026

Organization subpart

No

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

Authorized official

Name

Moniquea Jean DeganNPI 1205933884

Title

Owner

Phone

(360) 390-2701

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Moniquea Jean Degan, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Port Townsend, WA
  • NPI 1205933884

  Family

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772841600000",
    "number": "1730030602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 POLK ST STE 4B",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686739",
            "telephone_number": "360-390-2701",
            "fax_number": "360-443-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 POLK ST STE 4B",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686739",
            "telephone_number": "360-390-2701",
            "fax_number": "360-443-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD SAGE PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A",
        "authorized_official_last_name": "DEGAN",
        "authorized_official_first_name": "MONIQUEA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-390-2701"
    },
    "taxonomies": [
        {
            "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": []
}

• Lobelia A White
• Wendy Ann White, ARNP
• David Stafford Whitney, M.D.
• Lissa A Wick
• Kelsey Wigle
• Juneaux Sebastian Wilde, M.ED., LMHC, LPC
• Emily Ann Wilkinson, OT, CLT
• Coreen J Williams
• Mariam Williamson, MA
• Sarah Willick, LMHC-A

• Psychiatric/Mental Health Nurse Practitioner in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.