Andrew Taylor Wainwright, CASAC #20543 NYS OAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

20543CASAC Issued in NY

Practice address

Seven Holland Avenue
Second Floor
White Plains, NY 10603-3317

Phone

(914) 683-8050

Fax

(914) 683-8054

NPI assigned

Aug 23, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Innovative Health Systems, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • White Plains, NY
  • NPI 1275610545
  NPD (past)

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1033499934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SEVEN HOLLAND AVENUE",
            "address_2": "SECOND FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SEVEN HOLLAND AVENUE",
            "address_2": "SECOND FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033317",
            "telephone_number": "914-683-8050",
            "fax_number": "914-683-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINWRIGHT",
        "first_name": "ANDREW",
        "middle_name": "TAYLOR",
        "name_prefix": "Mr.",
        "credential": "CASAC #20543 NYS OAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "20543CASAC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01037705",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Wachtel, M.D.
• Jonathan Miller Wachtel, MD
• Elizabeth Anne Wade, M. D.
• Elizabeth E Wagner, PHD
• Nicole Wagner, LCSW
• Adam Foster Waldman
• Walgreen Co
• Aryana Walizadeh, PMHNP-BC
• Tangari Walker-Rennalls
• Amy Sharon Walker, PH.D.

• Addiction (Substance Use Disorder) Counselor in White Plains, NY
• Providers in White Plains, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.