Wanda G. Fox

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

LSW-2722 Issued in ID

Legal business name

WANDA G. FOX

Doing business as

Tohidu Mental Health

Practice address

819 Hwy 2 Pioneer SQ. 204
Sandpoint, ID 83864-0000

Phone

(208) 265-0745

Fax

(208) 255-1543

NPI assigned

Apr 6, 2007

Last updated

Jul 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Wanda G. Fox, LSW,MSW

Title

Program Director

Phone

(208) 265-0745

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Tohidu Mental Health Doing business as

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1144342478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 HWY 2 PIONEER SQ. 204",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838640000",
            "telephone_number": "208-265-0745",
            "fax_number": "208-255-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 HWY 2 PIONEER SQ. 204",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838640000",
            "telephone_number": "208-265-0745",
            "fax_number": "208-255-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDA G. FOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "208-265-0745",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSW,MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": "LSW-2722",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LSW-2722",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8068102",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8068389",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tohidu Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Leigh Weeks Vizcarra, M.D.
• Attea Voigt
• Karen Elizabeth Vollmer-Poseley, LPC
• Marc Vroman, LMT
• Maria Christine Walden, ANLC IBCLC BSL BSN
• James Wandler, LPC
• Cindy Wanek
• James Russell Wanek, RPH
• Joseph Wassif
• Gloria Jennings Waterhouse, PHD

• Case Management Agency in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Case Management Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.