Individual provider Active NPI

Manisha Wadhwa, M.D.

  • Psychiatry Physician
  • Wilmington, DE
National Provider Identifier
1851376354
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C1-0007693 Issued in DE
Practice address
5189 W Woodmill Dr
Wilmington, DE 19808-4009
Phone
(302) 633-6001
Fax
(302) 295-6289
NPI assigned
Dec 7, 2005
Last updated
Dec 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C1-0007693 DE Primary
Child & Adolescent Psychiatry Physician 2084P0804X C1-0007693 DE

Addresses

Primary practice location

5189 W Woodmill Dr
Wilmington, DE 19808-4009

Mailing address

5189 W Woodmill Dr
Wilmington, DE 19808-4009
Phone (302) 633-6001

Other identifiers 1

IdentifierTypeStateIssuer
1000036971MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000502 DE Practitioner - Psychiatry 6103841333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harmonious Mind LLCGroup PAC ID 9931126604, 5 clinicians

Practice addresses (Care Compare)

5189 W Woodmill Dr
Wilmington, DE 19808-4009
Phone (302) 633-6001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Harmonious Mind LLC CurrentSince May 23, 2005 Accepting new patients

Locations

240 N James St
Ste 111
Newport, DE 19804
Phone (302) 407-1645

5189 W Woodmill Dr
Wilmington, DE 19808
Phone (302) 633-6001

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1851376354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5189 W WOODMILL DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084009",
            "telephone_number": "302-633-6001",
            "fax_number": "302-295-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5189 W WOODMILL DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084009",
            "telephone_number": "302-633-6001",
            "fax_number": "302-295-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADHWA",
        "first_name": "MANISHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C1-0007693",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "DE",
            "license": "C1-0007693",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000036971",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.