Organization Active NPI

Waw Mind and Body

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colgate, WI
National Provider Identifier
1003604737
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WAW MIND AND BODY
Practice address
5002 Fox Knoll LN
Colgate, WI 53017-9127
Phone
(262) 264-8414
Fax
(803) 393-8908
NPI assigned
Apr 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Sarah E Wawrzyniak, APNPNPI 1740465111
Title
Nurse Practitioner
Phone
(803) 457-2242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5002 Fox Knoll LN
Colgate, WI 53017-9127

Mailing address

5002 Fox Knoll LN
Colgate, WI 53017-9127
Phone (262) 264-8414

Other identifiers 1

IdentifierTypeStateIssuer
1740465111MedicaidWI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1003604737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 FOX KNOLL LN",
            "city": "COLGATE",
            "state": "WI",
            "postal_code": "530179127",
            "telephone_number": "262-264-8414",
            "fax_number": "803-393-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 FOX KNOLL LN",
            "city": "COLGATE",
            "state": "WI",
            "postal_code": "530179127",
            "telephone_number": "262-264-8414",
            "fax_number": "803-393-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAW MIND AND BODY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "WAWRZYNIAK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "803-457-2242",
        "authorized_official_credential": "APNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740465111",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colgate, WI

Sources for this page

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