Childynamics LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHILDYNAMICS LLC

Practice address

11904 W North Ave
Suite 110
Wauwatosa, WI 53226-2062

Phone

(414) 258-4318

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Isabela Sardas, PHD

Title

PHD

Phone

(414) 258-4318

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Childynamics LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Childynamics, LLC

  • Social Worker
  • Wauwatosa, WI
  • NPI 1669655429
  NPD tax ID
• Childynamics, LLC Health Check Services

  • Community/Behavioral Health Agency
  • Wauwatosa, WI
  • NPI 1669647343
  NPD tax ID

Locations

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1235304692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11904 W NORTH AVE",
            "address_2": "SUITE 110",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262062",
            "telephone_number": "414-258-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11904 W NORTH AVE",
            "address_2": "SUITE 110",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262062",
            "telephone_number": "414-258-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDYNAMICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "SARDAS",
        "authorized_official_first_name": "ISABELA",
        "authorized_official_title_or_position": "PHD",
        "authorized_official_telephone_number": "414-258-4318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42216000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Menefee Chevako, MA
• Jennifer Chigonim Chiji-Aguma
• Children'S Hospital of Wisconsin
• Children'S Medical Group
• Childrens Hospital of Wisconsin
• Childynamics, LLC
• Childynamics, LLC Health Check Services
• Jamin Chilsen, P.T.A.
• Elizabeth Chirban, LPC-IT
• Patricia K.B. Chirillo, M.S.

• Community/Behavioral Health Agency in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.