NPIMap

Organization Active NPI

Wediko Children's Services

  • Community/Behavioral Health Agency
  • Montclair, NJ
National Provider Identifier
1881933257
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
079144-1 Issued in NY
Legal business name
WEDIKO CHILDREN'S SERVICES
Practice address
8 Hillside Ave
Montclair, NJ 07042-2129
Phone
(646) 481-0185
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Kristen Renshaw, LCSW
Title
Co-Director
Phone
(646) 481-0184

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 079144-1 NY Primary
Community/Behavioral Health Agency 251S00000X 078168 NY

Addresses

Primary practice location

8 Hillside Ave
Montclair, NJ 07042-2129

Mailing address

421 W 145TH St
New York, NY 10031-5203

National Provider Directory

National Provider Directory
Tax ID family
Wediko Children's Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8 Hillside Ave
Montclair, NJ 07042
Phone (347) 208-3313

421 W 145th St
New York, NY 10031

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1881933257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W 145TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HILLSIDE AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422129",
            "telephone_number": "646-481-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEDIKO CHILDREN'S SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "RENSHAW",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "646-481-0184",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "079144-1",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "078168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.