Organization Active NPI

Wilson and Wynn Interventions

  • Community/Behavioral Health Agency
  • Grand Rapids, MI
National Provider Identifier
1477885325
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WILSON AND WYNN INTERVENTIONS
Practice address
680 Three Mile NW
Suite 150
Grand Rapids, MI 49544
Phone
(616) 647-3460
NPI assigned
Feb 3, 2010
Last updated
Feb 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Mr. Tim Gerard Leonard
Title
Therapist
Phone
(616) 855-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

680 Three Mile NW
Suite 150
Grand Rapids, MI 49544

Mailing address

1148 Orchard Ave SE
Grand Rapids, MI 49506-3547
Phone (616) 855-5151

National Provider Directory

National Provider Directory

Locations

680 3 Mile Rd NW
Ste 150
Grand Rapids, MI 49544
Phone (616) 647-3460

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1477885325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 ORCHARD AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063547",
            "telephone_number": "616-855-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 THREE MILE NW",
            "address_2": "SUITE 150",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49544",
            "telephone_number": "616-647-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON AND WYNN INTERVENTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "616-855-5151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.