Active NPI
JWS Licensed Marriage and Family Therapist, PC
- Marriage & Family Therapist
- Baldwinsville, NY
National Provider Identifier
1255895892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- JWS LICENSED MARRIAGE AND FAMILY THERAPIST, PC
- Practice address
- 3070 Belgium Rd
Baldwinsville, NY 13027-9546 - Phone
- (315) 857-3035
- Fax
- (315) 720-1171
- NPI assigned
- Jan 28, 2019
- Last updated
- Mar 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Lynn Wainman-Sauda, LMFT
- Title
- Owner
- Phone
- (315) 857-3035
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
3070 Belgium Rd
Baldwinsville, NY 13027-9546
Mailing address
70 W Genesee St
Baldwinsville, NY 13027-1145
Phone (315) 857-3035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659458563 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584057600000",
"number": "1255895892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 W GENESEE ST",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130271145",
"telephone_number": "315-857-3035",
"fax_number": "315-720-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3070 BELGIUM RD",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130279546",
"telephone_number": "315-857-3035",
"fax_number": "315-720-1171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JWS LICENSED MARRIAGE AND FAMILY THERAPIST, PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-28",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A",
"authorized_official_last_name": "WAINMAN-SAUDA",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-857-3035",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659458563",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baldwinsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.