Christine M Wamble

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

401 S 2ND St
Philadelphia, PA 19147-1612

Phone

(484) 843-1364

NPI assigned

Aug 3, 2021

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ivyland Counseling Center, Inc.

  • Clinical Psychologist
  • Warminster, PA
  • NPI 1497837355
  NPD

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1952075004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 2ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471612",
            "telephone_number": "484-843-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S 2ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471612",
            "telephone_number": "484-843-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMBLE",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamika Walton, A.A.S, RBT, CNA
• Timothy Walton
• Gail Joanna Waltz, MD
• Rose M. Waltz, CRNP
• Anita Gathoni Wamakima, MD
• Charles Wambulwa, MD
• Victoria Wampler
• Blaken Wamsley
• Aaron Wan, CRNP
• Zimeng Wan

• Marriage & Family Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Marriage & Family Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.