Organization Active NPI

Word Wellness Center, LLC

Doing business as Word Wholeness Center

  • Psychologist
  • Fayetteville, NY
National Provider Identifier
1457819963
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WORD WELLNESS CENTER, LLC
Doing business as
Word Wholeness Center
Practice address
6836 E Genesee Street
Suite a
Fayetteville, NY 13066
Phone
(315) 400-7441
NPI assigned
Mar 5, 2019
Last updated
Jun 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Dr. Adekola Alao, MD
Title
Dr
Phone
(315) 400-7441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

6836 E Genesee Street
Suite a
Fayetteville, NY 13066

Mailing address

6836 E Genesee St Ste a
Fayetteville, NY 13066-1024
Phone (315) 400-7441

Other identifiers 1

IdentifierTypeStateIssuer
1265457196MedicaidNY

Other names 1

  • Word Wholeness Center Doing business as

National Provider Directory

National Provider Directory

Locations

6836 E Genesee St
Ste A
Fayetteville, NY 13066
Phone (315) 400-7441

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1457819963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6836 E GENESEE ST STE A",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661024",
            "telephone_number": "315-400-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6836 E GENESEE STREET",
            "address_2": "SUITE A",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "13066",
            "telephone_number": "315-400-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORD WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "ALAO",
        "authorized_official_first_name": "ADEKOLA",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "315-400-7441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265457196",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Word Wholeness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.