Edward J Wojniak, Jr, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

EDWARD J WOJNIAK, JR, INC.

Practice address

4041 N High St Ste 203E
Columbus, OH 43214-3253

Phone

(614) 696-9900

Fax

(614) 696-9901

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edward John Wojniak Jr., PHDNPI 1285792077

Title

President

Phone

(614) 696-9900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Daybreak Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward John Wojniak Jr., PH.D.

  • Psychologist
  • Columbus, OH
  • NPI 1285792077
  Medicare reassignment NPD Authorized official
• Mark Richard McCarthy, MA

  • Professional Counselor
  • Columbus, OH
  • NPI 1962500272
  NPD (past)

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1427216464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 W KENWORTH RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144008",
            "telephone_number": "614-696-9900",
            "fax_number": "614-696-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 N HIGH ST STE 203E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143253",
            "telephone_number": "614-696-9900",
            "fax_number": "614-696-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J WOJNIAK, JR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "WOJNIAK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-696-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285792077",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2513195",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daybreak Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Neeraj Edward, MD
• Angel Edwards-Hedberg, RN
• Rudesta Edwards-Ugiomoh, LISW, LSCSW, LSWIC
• Ahmed Farid Edwards, L.AC.
• Amanda Edwards

• Psychologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.