Wildroots Mental Health & Wellness, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

WILDROOTS MENTAL HEALTH & WELLNESS, PLLC

Practice address

1821 White Ave
Lincoln Park, MI 48146-2254

Phone

(313) 720-0052

NPI assigned

Feb 2, 2026

Organization subpart

No

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

Authorized official

Name

Gina Marie Dematteo, LLPNPI 1841533213

Title

Owner

Phone

(313) 720-0052

Specialties & licenses 1

Addresses

Practitioners 1

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

• Gina Marie Dematteo, LLP

  • Psychologist
  • Lincoln Park, MI
  • NPI 1841533213
  NPD Authorized official

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1871443515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 WHITE AVE",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 WHITE AVE",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462254",
            "telephone_number": "313-720-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDROOTS MENTAL HEALTH & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "DEMATTEO",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-720-0052",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Webb
• Claire Webster, MSW
• Western Wayne Family Health Centers
• Western Wayne Family Health Centers
• Diane Hayward Wickham, L.P.C.
• Neemel Wilkins
• Heather Ann Williams-Dykowski, B.A., S.W.
• Demeshia K Williams
• Ron Williams, MA,CAC I
• Sherrell Williams

• Psychologist in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.