NPIMap

Organization Active NPI

Waypoint Wellness Center, LLC

  • Psychologist
  • Annapolis, MD
National Provider Identifier
1437548237
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WAYPOINT WELLNESS CENTER, LLC
Practice address
166 Defense Hwy Ste 203
Annapolis, MD 21401-8922
Phone
(410) 684-3806
NPI assigned
Jan 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Allyson K Wagnaer
Title
Co-Owner
Phone
(410) 684-3806

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 04890 MD
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 04712 MD
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

166 Defense Hwy Ste 203
Annapolis, MD 21401-8922

Mailing address

877 Baltimore Annapolis Blvd Ste 203
Severna Park, MD 21146-4716
Phone (410) 684-3806

Other practice location 1

1190 Winterson Rd Ste 160
Linthicum, MD 21090-2245
Phone (410) 684-3806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220810000392 MD Part B Supplier - Clinic/Group Practice 2668855560 Receives reassigned benefits from 5 practitioners
Practice locations: Severna Park, MD; Annapolis, MD; Linthicum, MD

National Provider Directory

National Provider Directory

Locations

1190 Winterson Rd
Ste 160
Linthicum Heights, MD 21090
Phone (410) 684-3406

877 Baltimore Annapolis Blvd
Ste 203
Severna Park, MD 21146

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1437548237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 BALTIMORE ANNAPOLIS BLVD STE 203",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464716",
            "telephone_number": "410-684-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 DEFENSE HWY STE 203",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018922",
            "telephone_number": "410-684-3806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 Winterson Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Linthicum",
            "state": "MD",
            "postal_code": "210902245",
            "country_code": "US",
            "telephone_number": "410-684-3806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAYPOINT WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "WAGNAER",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "410-684-3806"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04890",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04712",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.