Kim M Wisniewski, ATR-BC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Practice address

228 Linda Ave
Hawthorne, NY 10532-2050

Phone

(914) 773-7428

Fax

(914) 747-5647

NPI assigned

Mar 20, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jewish Board of Family and Children Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hawthorne, NY
  • NPI 1326312950

  Residential Treatment Facility, Emotionally Disturbed Children

  NPD (past)

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1811168503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 LINDA AVE",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322050",
            "telephone_number": "914-773-7428",
            "fax_number": "914-747-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 LINDA AVE",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322050",
            "telephone_number": "914-773-7428",
            "fax_number": "914-747-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "KIM",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Marie Wilson, MD
• Karen Ann-Marie Wilson, NURSE PRACTITIONER
• Wims, LLC
• John M Winget, P.T.
• Diane M. Wisner-Magee, M.S.
• Laura R Wisniewski, M.S. ED
• Colette Wolff, AUD
• Women's Physician of Westcheester
• Women's Physician of Westchester
• Christina Gerhardstein Wong, PHD, ABPP-CN

• Emotionally Disturbed Childrens' Residential Treatment Facility in Hawthorne, NY
• Providers in Hawthorne, NY by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.