Active NPI
Hello Wonderwork Inc.
- Adolescent and Children Mental Health Clinic/Center
- Mishawaka, IN
National Provider Identifier
1831804400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- HELLO WONDERWORK INC.
- Practice address
- 235 Ironworks Ave
Unit #473
Mishawaka, IN 46544 - Phone
- (415) 915-6556
- NPI assigned
- Jan 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kalkin Shelat
- Title
- Coo
- Phone
- (574) 402-8736
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
235 Ironworks Ave
Unit #473
Mishawaka, IN 46544
Mailing address
5214F Diamond Heights Blvd
San Francisco, CA 94131-2175
Phone (415) 915-6556
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674000000000",
"number": "1831804400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5214F DIAMOND HEIGHTS BLVD",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941312175",
"telephone_number": "415-915-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 IRONWORKS AVE",
"address_2": "UNIT #473",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "46544",
"telephone_number": "415-915-6556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HELLO WONDERWORK INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-18",
"last_updated": "2023-01-18",
"certification_date": "2023-01-12",
"status": "A",
"authorized_official_last_name": "SHELAT",
"authorized_official_first_name": "KALKIN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "574-402-8736"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.