DR. JUSTYNA TERESA WADOLOWSKI (NPI# 1003259656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003259656 |
| Entity Type | Individual |
| Full Name | DR. JUSTYNA TERESA WADOLOWSKI |
| Credential | D.O |
| Practice Address |
Unit 5142 Apo AP 96368-5142 |
| Mailing Address |
Psc 80 Box 15162 Apo AP 96367-0054 |
| Practice Telephone | 3156304542 |
| Enumeration Date | 2013-04-14 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
DOS-1692 | HI | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
DOS-1692 | HI | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
R2801 | AZ | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
DOS-1692 | AZ | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | DOS | HI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2200 Bergquist Dr, Ste 1, Whasc/psychiatry, 59 Mhs/sgow, Lackland A F B, TX 782369907 | 2102925941 | 2102925944 |
| 2800 E Ajo Way, Tucson, AZ 857136204 | 5208742795 |
| Street Address |
UNIT 5142 |
| City | APO |
| State | AP |
| Zip Code | 96368-5142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194704916 | 18th Medical Group | Military Hospital | Unit 5142, Apo, AP AP | 2006-01-11 |
| 1356838403 | William Gilmore Senn | Dentist | Unit 5142, Apo, AP 96368-5142 | 2018-04-15 |
| 1952698144 | Shanita Webb | Military Hospital | Unit 5142, Apo, AP 96368-5142 | 2011-07-07 |
| 1144510371 | Crystal Rose Lenz | General Practice | Unit 5142, 18th Medical Group, Apo, AP 96368-5142 | 2011-04-08 |
| 1275842684 | Kimberly Marie Ranieri | Physician Assistant | Unit 5142, Apo, AP 96368-5142 | 2010-10-03 |
| 1952325128 | Timothy Paul Ballard | Family Medicine | Unit 5142, 18th Medical Group, Apo, AP 96368-5142 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063872703 | Halston Thayer | Dentist | 18th Medical Group. Unit 5142, Apo, AP 96368 | 2016-02-23 |
| 1912392333 | Jennifer Chilson | Military Health Care Provider | Bldg 3531 Unit 5247 B 10, Apo, AP 96368 | 2015-04-02 |
| 1811245962 | Greyson Leftwich | Dentist | 18th Medical Group, Bldg 626. Unit 5142, Apo, AP 96368 | 2012-08-21 |
| 1639440720 | Marta T Casbeer | Social Worker | Unit 4142, Apo, AP 96368 | 2012-01-20 |
| 1538454335 | Rachel Jeanty Asuquo | Internal Medicine | Kadena Air Base, Apo, AP 96368 | 2011-06-09 |
| 1730489451 | Laura Driver | Dentist | Kadena Afb 18 Mdg, Unit 5142, Apo, AP 96368 | 2010-10-28 |
| 1043442247 | Christina M Carter | Nurse Practitioner | 18th Med Group Unit 5142, Apo, AP 96368 | 2009-08-20 |
| 1659515070 | David J Billings | Military Health Care Provider | 353d Operations Support Squadron, Unit 5247 Box 10, Apo, AP 96368 | 2009-04-29 |
| 1427292226 | Melissa Anne Worley | Emergency Medical Technician, Paramedic | Bldg 3531, Kadena Ab Japan, Apo, AP 96368 | 2009-04-23 |
| 1922240571 | Richard H Caballero | Pharmacist | 18 Mdss Pharmacy, Unit 5268 Bld 626, Apo, AP 96368 | 2009-03-28 |
| Find all providers in zip 96368 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134201478 | Christian Jerril Smith | Psychiatry & Neurology | Psc 9 Box 0, Apo, AE 09123-9998 | 2006-10-19 |
| 1255374831 | Alison Monds Ward | Psychiatry & Neurology | Box 55 Unit 26610, Apo, AE 09244 | 2006-06-13 |
| 1073576591 | Jon Jason O'pry | Psychiatry & Neurology | Raf Lakenheath 48 Mdg/sgot, Unit 5210 Box 230, Apo, AE 09461-0230 | 2006-04-07 |
| 1609181510 | Matthew James Baker | Psychiatry & Neurology | 52 Mdg Unit 3690, Apo, AE 09126-3690 | 2010-08-16 |
| 1114170271 | Michael Patrick Zeola | Psychiatry & Neurology | Unit 3215, Apo, AE 09094-3215 | 2008-11-02 |
| 1982663936 | Steve M Morris | Psychiatry & Neurology | Cmr 442, Box 493, Apo, AE 09042-0493 | 2006-03-20 |
| 1730178104 | Jennifer Chow | Psychiatry & Neurology | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2005-10-18 |
| 1235127614 | James Carter Cooper II | Psychiatry & Neurology | Unit 5210 Box 230, Apo, AE 09461-0230 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316919459 | Heidi Lyszczarz | Psychiatry & Neurology | Psc 482, Box 3054, Fpo, AP 96362 | 2006-02-03 |
Please comment or provide details below to improve the information on DR. JUSTYNA TERESA WADOLOWSKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.