NPIMap

Organization Active NPI

Childynamics, LLC Health Check Services

  • Community/Behavioral Health Agency
  • Wauwatosa, WI
National Provider Identifier
1669647343
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHILDYNAMICS, LLC HEALTH CHECK SERVICES
Practice address
11904 W North Ave
Suite 110
Wauwatosa, WI 53226-2062
Phone
(414) 258-4318
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Isabela Sardas, PHD
Title
PHD
Phone
(414) 258-4318

Specialties & licenses 1

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

Addresses

Primary practice location

11904 W North Ave
Suite 110
Wauwatosa, WI 53226-2062

Mailing address

11904 W North Ave
Suite 110
Wauwatosa, WI 53226-2062
Phone (414) 258-4318

Other identifiers 1

IdentifierTypeStateIssuer
41872700MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Childynamics LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1669647343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11904 W NORTH AVE",
            "address_2": "SUITE 110",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262062",
            "telephone_number": "414-258-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11904 W NORTH AVE",
            "address_2": "SUITE 110",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262062",
            "telephone_number": "414-258-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDYNAMICS, LLC HEALTH CHECK SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "SARDAS",
        "authorized_official_first_name": "ISABELA",
        "authorized_official_title_or_position": "PHD",
        "authorized_official_telephone_number": "414-258-4318",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41872700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.