Tamika A. Wayne

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000000000000 Issued in PA

Practice address

85 Old Eagle School Rd Ste 200
Wayne, PA 19087-2556

Phone

(610) 368-3946

Fax

(610) 368-3946

NPI assigned

Jan 5, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Tamika A. Wayne Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1215267877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 STONEYBROOK LN",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 OLD EAGLE SCHOOL RD STE 200",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872556",
            "telephone_number": "610-368-3946",
            "fax_number": "610-368-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYNE",
        "first_name": "TAMIKA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "000000000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKPORT INSURANCE",
            "identifier": "22000021053-091",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMIKA",
            "last_name": "WAYNE",
            "middle_name": "A.",
            "prefix": "MRS.",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Wayne Dental Care
• Wayne Family Physicians
• Wayne Health Center LLC
• Wayne Nutrition, LLC
• Wayne Pediatric Associates
• Shirley A Weaver, OTR
• Victoria Lynn Webb, PHD
• Ronald J Weber, MD
• Shelley Marged Weber, PH.D., FPPR
• Victoria Weikel, MS

• Mental Health Counselor in Wayne, PA
• Providers in Wayne, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.