Wayside House, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1550AD064401 Issued in FL

Legal business name

WAYSIDE HOUSE, INC.

Practice address

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

Phone

(561) 278-0055

Fax

(561) 276-6368

NPI assigned

Aug 15, 2008

Last updated

Jan 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lisa McWhorter

Title

Ceo

Phone

(561) 278-0055

Specialties & licenses 3

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

  • Community/Behavioral Health Agency
  • Delray Beach, FL
  • NPI 1639635980
  NPD tax ID

Locations

Practitioners 3

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)
• Cara Rose Kaul, MD

  • Psychiatry Physician
  • Delray Beach, FL
  • NPI 1992295109
  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": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1780830224",
    "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": "334835517",
            "telephone_number": "561-278-0055",
            "fax_number": "561-276-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 NE 6TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835517",
            "telephone_number": "561-278-0055",
            "fax_number": "561-276-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYSIDE HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "MCWHORTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-278-0055",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "1550AD064401",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1550AD064401",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "1550AD064401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124342100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Arthur P Weiner, MD

• Substance Abuse Rehabilitation Facility in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.