Wayfaring Mininstries Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

003563 Issued in CT

Legal business name

WAYFARING MININSTRIES INC.

Practice address

295 Treadwell St
Building C
Hamden, CT 06514-4140

Phone

(203) 248-2729

Fax

(203) 248-4572

NPI assigned

Mar 21, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Roger Johnson

Title

Administrator

Phone

(203) 248-2729

Specialties & licenses 2

Addresses

Other names 1

• Futures Doing business as

Tax ID family

Futures2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• /Wayfaring Ministries

  • Point of Service
  • Hamden, CT
  • NPI 1891199931
  NPD tax ID

Locations

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1053738641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MARNE ST. REAR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065144140",
            "telephone_number": "203-248-2729",
            "fax_number": "203-248-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 TREADWELL ST",
            "address_2": "BUILDING C",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065144140",
            "telephone_number": "203-248-2729",
            "fax_number": "203-248-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYFARING MININSTRIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "203-248-2729",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CT",
            "license": "003563",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "003563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Futures",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosetta Danielle Washington
• Maureen Wasik, RD, CDE
• Brieana Guarco Watson
• Watts LCSW & Associates, LLC
• Alonzo F Watts, LCSW
• Aliya Rachel Webermann, PHD
• Marlo Wehrer
• Amanda Rachel Weinberger
• Lauren Weindling, PAC
• Hannah Elizabeth Weinstock, ATC

• Community/Behavioral Health Agency in Hamden, CT
• Providers in Hamden, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.