WMC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WMC

Practice address

1939 S Juniper St
Philadelphia, PA 19148-2217

Phone

(215) 271-5822

Fax

(215) 271-5881

NPI assigned

Jul 18, 2019

Organization subpart

No

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

Authorized official

Name

Takisa S Gallman

Title

VP Administrative Services

Phone

(215) 276-3922

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

WMC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

• WMC

  • Specialist
  • Philadelphia, PA
  • NPI 1114144508
  NPD tax ID
• WMC

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1144873126
  NPD tax ID
• WMC

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1306468756
  NPD tax ID
• WMC

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1659924678
  NPD tax ID
• WMC

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1659993509
  NPD tax ID
• WMC

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1821215203
  NPD tax ID
• WMC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1871710269
  NPD tax ID

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1275186207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 S JUNIPER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482217",
            "telephone_number": "215-271-5822",
            "fax_number": "215-276-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 S JUNIPER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482217",
            "telephone_number": "215-271-5822",
            "fax_number": "215-271-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "GALLMAN",
        "authorized_official_first_name": "TAKISA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "215-276-3922"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001680493",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Haas Wlostowski, CRNA
• WM Operating, LLC
• WMC
• WMC
• WMC
• WMC
• WMC
• WMC
• WMC
• WMC

• Community/Behavioral Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.