Wayside House, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WAYSIDE HOUSE, INC.

Practice address

328 NE 6TH Ave
Delray Beach, FL 33483-5517

Phone

(561) 666-9154

Fax

(561) 294-0178

NPI assigned

Feb 12, 2019

Organization subpart

No

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

Authorized official

Name

Lisa Gail McWhorter

Title

Ceo

Phone

(561) 666-9154

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Wayside House Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wayside House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Delray Beach, FL
  • NPI 1780830224
  NPD tax ID

Locations

Practitioners 2

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.

• Priscilla Berardo

  • Addiction (Substance Use Disorder) Counselor
  • Delray Beach, FL
  • NPI 1427638576
  NPD (past)
• Amy Milin, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
  • NPI 1982282844
  NPD (past)

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1639635980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 NE 6TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33483",
            "telephone_number": "561-666-9168",
            "fax_number": "561-294-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 NE 6TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835517",
            "telephone_number": "561-666-9154",
            "fax_number": "561-294-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYSIDE HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "MCWHORTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-666-9154"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103939900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "waysidehouse.net",
            "affiliation": "N",
            "address_1": "328 NE 6th Ave",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334835517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arielle Waters, PT, DPT
• Watershed at Clear Lake
• Jessica Angela Watkins, LCSW
• Alyse R Wayne, PA
• Tristen Wayne
• Wayside House, Inc.
• Angela Giancola Weatherall, M.D.
• Ambriel Kayla Weatherly, DDS
• Joshua Robert Weaver, LMHC
• Leif Weig, PSYD

• Community/Behavioral Health Agency in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.