NPIMap

Organization Active NPI

Wediko Children's Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Windsor, NH
National Provider Identifier
1184812463
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
2899 Issued in NH
Legal business name
WEDIKO CHILDREN'S SERVICES
Practice address
11 Bobcat Blvd
Windsor, NH 03244-7419
Phone
(603) 478-5236
Fax
(603) 478-2049
NPI assigned
Oct 11, 2007
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Ms. Patricia Fries, MSW
Title
Financial Director
Phone
(617) 292-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 2899 NH Primary

Addresses

Primary practice location

11 Bobcat Blvd
Windsor, NH 03244-7419

Mailing address

72 E Dedham St
Boston, MA 02118-2315
Phone (617) 292-9200

National Provider Directory

National Provider Directory
Tax ID family
Wediko Children's Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

11 Bobcat Blvd
Windsor, NH 03244
Phone (603) 478-5236

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1184812463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 E DEDHAM ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182315",
            "telephone_number": "617-292-9200",
            "fax_number": "617-292-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BOBCAT BLVD",
            "city": "WINDSOR",
            "state": "NH",
            "postal_code": "032447419",
            "telephone_number": "603-478-5236",
            "fax_number": "603-478-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEDIKO CHILDREN'S SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "FRIES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "617-292-9200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NH",
            "license": "2899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.