Wendt Center

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

WENDT CENTER

Practice address

5321 1St PL NE
Washington, DC 20011-3410

Phone

(202) 742-1720

NPI assigned

Oct 19, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Susan Ley, LICSW

Title

Executive Director

Phone

(202) 624-0010

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Wendt Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Wendt Center

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1699091595
  NPD tax ID
• William Wendt Center for Loss and Healing

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1710040720
  NPD tax ID

Locations

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1437485992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CONNECTICUT AVE NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 1ST PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113410",
            "telephone_number": "202-742-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "LEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-624-0010",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037516200",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chruce Wembeh
• Modupe Wemida
• Jason Douglas Wemmers, PSY.D.
• Seble Wendimhun
• Ilse Wendorff, PH.D.
• Wendt Center
• Elizabeth Wendt
• Wendy Lehman LPC, Chartered
• Marlene Segall Wentworth, NURSE PRACTITIONER
• Shannon Marie Wentworth, MD

• All providers in Washington, DC
• Exclusive Provider Organization in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.