Wayne O Adams, CASAC-T
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · New York, NY
NPI 1386071959 · NPPES record last updated Sep 27, 2013
Key facts
- NPI
- 1386071959
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 8 E 3Rd St
New York, NY 10003-8908 - Phone
- (212) 533-8400
- Fax
- (212) 763-0599
- NPI assigned
- Sep 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NY | Yes |
Addresses
Primary practice location
8 E 3Rd St
New York, NY 10003-8908
Mailing address
16345 130TH Ave
Jamaica, NY 11434-3026
Phone (212) 533-8400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13-2602882 | Medicaid | NY |
Other names
- Mr. Wayne O Adams
Other providers in New York, NY
- Sonja Gabriel Adams
- Stacey Lynn Adams
- Susan E Adams
- Sylvia Adams
- Tehilla Adams
- William Harris Adams
- Ayanna Adaniel
- Christina Hafermalz Adaniel
- Arjun Adapa
- Nikhil Adapa
All providers in New York, NY · Addiction (Substance Use Disorder) Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.