Miriam Wonnie, M ED.,BSL

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

BH001706 Issued in PA

Practice address

One West Main Street
Fleetwood, PA 19522

Phone

(610) 944-0445

Fax

(610) 944-1196

NPI assigned

Nov 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science - Law, Master of Education

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: miriam.wonnie.p1@direct.berkscc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Concern Professional Services for Children, Youth, & Families

  • Community/Behavioral Health Agency
  • Sinking Spring, PA
  • NPI 1093135964
  NPD (past) Authorized official
• Berks Counseling Center, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Reading, PA
  • NPI 1881620250
  NPD (past)

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1235536244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 MONTELLO RD",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081515",
            "telephone_number": "610-927-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE WEST MAIN STREET",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "19522",
            "telephone_number": "610-944-0445",
            "fax_number": "610-944-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONNIE",
        "first_name": "MIRIAM",
        "credential": "M ED.,BSL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "BH001706",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "PA",
            "license": "BH001706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONCERN PROFESSIONAL SERVICES FOR CHILDREN , YOUTH, & FAMILIES",
            "identifier": "1083756902",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linford Weber, LSW
• Annamarie Weitzel, CPHT
• Megan N Werley, MSS
• Dena C Wich, CRNP
• Alex Williams
• Nicole R Zensky-Ortt, MA, LPC

• Intellectual & Developmental Disabilities Psychologist in Fleetwood, PA
• Providers in Fleetwood, PA by specialty
• Intellectual & Developmental Disabilities Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.