Wiley-Gunden Afc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

WILEY-GUNDEN AFC

Doing business as

wiley-gunden afc

Practice address

16 Kapplinger Dr
Farwell, MI 48622-9405

Phone

(989) 588-6769

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Brett Russell WileyNPI 1275102493

Title

Owner

Phone

(989) 588-6769

Specialties & licenses 1

Addresses

Other names 1

• wiley-gunden afc Doing business as

Practitioners 1

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

• Brett Russell Wiley

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Farwell, MI
  • NPI 1275102493
  NPD Authorized official

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1447820618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486220129",
            "telephone_number": "989-588-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 KAPPLINGER DR",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229405",
            "telephone_number": "989-588-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILEY-GUNDEN AFC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-588-6769",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wiley-gunden afc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Thrush, LPC
• Alina Elizabeth Utecht
• Abby Veit
• Heather Wentworth
• Michael J Wertheimer, MD
• Brett Russell Wiley
• Elizabeth Marie Winegar, D.D.S
• Samuel Dominic Zuccala, OTR

• Developmental Disabilities Clinic/Center in Farwell, MI
• Providers in Farwell, MI by specialty
• Developmental Disabilities Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.