Wave Counseling LCSW

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WAVE COUNSELING LCSW

Doing business as

Wave Counseling LCSW

Practice address

112 W 34TH St FL 18
New York, NY 10120-0001

Phone

(516) 551-2462

NPI assigned

Jul 25, 2018

Organization subpart

No

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

Authorized official

Name

Penina Phillips

Title

Office Manager

Phone

(516) 551-2462

Specialties & licenses 1

Addresses

Other names 1

• Wave Counseling LCSW Doing business as

Locations

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1457838039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W 34TH ST FL 18",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101200001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W 34TH ST FL 18",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101200001",
            "telephone_number": "516-551-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE COUNSELING LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "PENINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-551-2462"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wave Counseling LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jendayi Ruthie Waugh, BS/RN, MSN ANP
• Mary A Waugh, FNP
• Stephen Waugh, M.S PMHNP
• Whitney Waugh, PHD
• Isabella Waung, MD
• Grace Waverka
• George Wawrzonek
• Pawel Wawrzyniak, DPT, SCS
• David Wax, M.D.
• Jeffrey H Wax, LCSWR

• Mental Health Clinic/Center (Including Community Mental Health Center) in New York, NY
• Providers in New York, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.