Organization Active NPI

JWS Licensed Marriage and Family Therapist, PC

  • Marriage & Family Therapist
  • Baldwinsville, NY
National Provider Identifier
1255895892
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1659458563MedicaidNY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.