Wanda Santiago-Huertas, ABD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

80 Leif Blvd
Congers, NY 10920-1315

Phone

(914) 661-3572

Fax

(845) 268-8022

NPI assigned

Sep 26, 2014

Last updated

Mar 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1942603535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LEIF BLVD",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201315",
            "telephone_number": "914-661-3572",
            "fax_number": "845-268-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LEIF BLVD",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201315",
            "telephone_number": "914-661-3572",
            "fax_number": "845-268-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-HUERTAS",
        "first_name": "WANDA",
        "name_prefix": "Mrs.",
        "credential": "ABD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.