NPIMap

Organization Active NPI

Childynamics, LLC

  • Social Worker
  • Wauwatosa, WI
National Provider Identifier
1669655429
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
CHILDYNAMICS, LLC
Practice address
11904 W North Ave
Suite 110
Wauwatosa, WI 53226-2062
Phone
(414) 258-4347
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Isabela Sardas, PHD
Title
Director
Phone
(414) 258-4347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 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) 258-4347

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": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1669655429",
    "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": "414-258-4347"
        },
        {
            "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": "414-258-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDYNAMICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "SARDAS",
        "authorized_official_first_name": "ISABELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-258-4347",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 14, 2007; 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.