WMC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WMC

Practice address

4913 N Broad St
Philadelphia, PA 19141-2215

Phone

(215) 276-3922

Fax

(215) 276-8199

NPI assigned

Jul 18, 2019

Organization subpart

Yes

Parent organization

THE WEDGE MEDICAL CENTER, P.C.As reported in NPPES

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

Authorized official

Name

Takisa S Gallman

Title

VP Administrative Services

Phone

(215) 276-3922

Specialties & licenses 1

Addresses

Tax ID family

WMC8 organizations share this tax ID, including this one

Part of

Wedge Medical Center PC

Other organizations with this tax ID 7

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

• WMC

  • Specialist
  • Philadelphia, PA
  • NPI 1114144508
  NPD tax ID
• WMC

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1144873126
  NPD tax ID
• WMC

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1275186207
  NPD tax ID
• WMC

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1306468756
  NPD tax ID
• WMC

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1659993509
  NPD tax ID
• WMC

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1821215203
  NPD tax ID
• WMC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1871710269
  NPD tax ID

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1659924678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 OLD YORK RD OFC",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191262841",
            "telephone_number": "215-276-3922",
            "fax_number": "215-276-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412215",
            "telephone_number": "215-276-3922",
            "fax_number": "215-276-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WMC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE WEDGE MEDICAL CENTER, P.C.",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "GALLMAN",
        "authorized_official_first_name": "TAKISA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "215-276-3922"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WMC
• WMC
• WMC
• WMC
• WMC
• WMC
• WMC
• WMC
• WMK Associates
• Anna M Wodlinger Jackson, PHARMD

• Community/Behavioral Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.