WMC

Primary specialty

SpecialistTaxonomy code 174400000X

License

192780 Issued in PA

Legal business name

WMC

Practice address

4913 N Broad St
Philadelphia, PA 19141-2215

Phone

(215) 329-3200

Fax

(215) 329-3217

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Takisa S Gallman

Title

Administrative Director

Phone

(215) 276-3922

Specialties & licenses 4

Addresses

Other identifiers 1

Tax ID family

WMC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

• WMC

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1144873126
  NPD tax ID
• WMC

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1275186207
  NPD tax ID
• WMC

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1306468756
  NPD tax ID
• WMC

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1659924678
  NPD tax ID
• WMC

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1659993509
  NPD tax ID
• WMC

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1821215203
  NPD tax ID
• WMC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1871710269
  NPD tax ID

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1114144508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412215",
            "telephone_number": "215-329-3200",
            "fax_number": "215-329-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412215",
            "telephone_number": "215-329-3200",
            "fax_number": "215-329-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GALLMAN",
        "authorized_official_first_name": "TAKISA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "215-276-3922",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "192780",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "192780",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "192780",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "192780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016804930005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kai Gerald Wleh
• Robert Wlodarczyk, M.A.
• Colleen Haas Wlostowski, CRNA
• WM Operating, LLC
• WMC
• WMC
• WMC
• WMC
• WMC
• WMC

• Specialist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.