Wishkids International

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

WISHKIDS INTERNATIONAL

Doing business as

Wish Therapeutic Services (WTS)

Practice address

754 N Sherman Dr
Suite 205
Indianapolis, IN 46201-2575

Phone

(317) 295-9441

Fax

(317) 295-9441

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Phillip Mazorodze, BEHAVIOR CORDINATOR

Title

President

Phone

(317) 295-9441

Specialties & licenses 1

Addresses

Other names 1

• Wish Therapeutic Services (WTS) Doing business as

Tax ID family

Wish Therapeutic Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Wishkids International

  • Specialist
  • Indianapolis, IN
  • NPI 1568501567
  NPD tax ID

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407862824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 EAGLE CREEK PKWY APT 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544326",
            "telephone_number": "317-295-9441",
            "fax_number": "317-295-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 N SHERMAN DR",
            "address_2": "SUITE 205",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462012575",
            "telephone_number": "317-295-9441",
            "fax_number": "317-295-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISHKIDS INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MAZORODZE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-295-9441",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BEHAVIOR CORDINATOR"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wish Therapeutic Services (WTS)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jay B Wish, MD
• Wishard Anesthesia Group, LLC
• Wishard Health Services
• Wishard Health Services
• Wishard Hospital
• Wishkids International
• Patricia L Wisler, M.D.
• Amanda Nicole Wissmann Klage
• Dennis Witcher
• Ericka Witek, LCSW

• Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.