WONDERLAND CHILD & FAMILY SERVICES (NPI# 1003478660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003478660 |
| Entity Type | Organization |
| Organization Name | WONDERLAND CHILD & FAMILY SERVICES |
| Other Organization Name | WONDERLAND DEVELOPMENTAL CENTER |
| Practice Address |
2402 Nw 195th Pl Shoreline WA 98177-2932 |
| Mailing Address |
1909 214th St Se Ste 204 Bothell WA 98021-4415 |
| Practice Telephone | 2063643777 |
| Practice Fax Number | 2063643999 |
| Mailing Telephone | 4252194788 |
| Mailing Fax Number | 4252194790 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-08-16 |
| Authorized Official Name | KRISTI JOHNSON (BILLING SPECIALIST) |
| Authorized Official Telephone | 2063643777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 768265 | 05 |
| Other Name | Type Code |
|---|---|
| Wonderland Developmental Center | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1909 214th St Se Ste 204, Bothell, WA 980214415 | 4252194788 | 4252194790 |
| Street Address |
2402 NW 195TH PL |
| City | SHORELINE |
| State | WA |
| Zip Code | 98177-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093918765 | Kristi Jill Marion | Speech-Language Pathologist | 2402 Nw 195th Pl, Shoreline, WA 98177-2932 | 2007-06-08 |
| 1225648926 | Sarah Burt | Speech-Language Pathologist | 2402 Nw 195th Pl, Shoreline, WA 98177-2932 | 2020-08-06 |
| 1316569148 | Sophie Reynolds | Occupational Therapist | 2402 Nw 195th Pl, Shoreline, WA 98177-2932 | 2020-05-14 |
| 1730709262 | Rebecca Chao | Speech-Language Pathologist | 2402 Nw 195th Pl, Shoreline, WA 98177-2932 | 2020-04-24 |
| 1780213108 | Christine N Babcock | Occupational Therapist | 2402 Nw 195th Pl, Shoreline, WA 98177-2932 | 2020-04-07 |
| 1083246342 | Maria Gmuca | Occupational Therapist | 2402 Nw 195th Pl, Shoreline, WA 98177-2932 | 2020-02-05 |
| 1225595242 | Holly Schroepfer | Occupational Therapist | 2402 Nw 195th Pl, Shoreline, WA 98177-2932 | 2019-02-26 |
| 1831694223 | Yuling Liu | Occupational Therapist | 2402 Nw 195th Pl, Shoreline, WA 98177 | 2018-03-27 |
| 1487158655 | Hannah Christine Valentine | Speech-Language Pathologist | 2402 Nw 195th Pl, Shoreline, WA 98177-2932 | 2018-03-21 |
| 1245764174 | Francesca Blasen | Speech-Language Pathologist | 2402 Nw 195th Pl, Shoreline, WA 98177-2932 | 2017-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689227662 | Lindsey Cross | Speech-Language Pathologist | 3402 Nw 195th Pl, Shoreline, WA 98177 | 2019-07-19 |
| 1063921120 | Genevieve Louise Becker | Counselor | 132 Nw 195th St, Shoreline, WA 98177 | 2017-09-21 |
| 1134578552 | Emily F Walker | Social Worker | 1245 Nw 175th St., Shoreline, WA 98177 | 2016-06-07 |
| 1326462664 | Getachew Zewdie Demissie | Registered Nurse | 328 Nw Richmond Beach Rd, #312, Seattle, WA 98177 | 2014-02-06 |
| 1699913848 | Meghann Dalrymple | Occupational Therapist | 19235 15th Ave Ne, Shoreline, WA 98177 | 2009-01-27 |
| 1770757502 | Don M Huynh | Pharmacy Technician | 850 Nw Innis Arden Drive, Shoreline, WA 98177 | 2008-04-14 |
| 1295921609 | Esther Eileen Andrews Moore | Marriage & Family Therapist | 17250 10th Ave Nw, Shoreline, WA 98177 | 2007-09-19 |
| 1073730644 | Nancy Lynn Krecker-scott | Massage Therapist | 10525 - 3rd Ave Nw, Viewland's Elementary School, Seattle Public School Dis, Seattle, WA 98177 | 2007-04-18 |
| 1447321914 | Francis Arden Pinault | Acupuncturist | 646 Nw Richmond Beach Rd, Shoreline, WA 98177 | 2006-11-13 |
| 1053356303 | Anne H Reese | Pediatrics | 357 Nw Richmond Beach Rd, Richmond Pediatrics, Shoreline, WA 98177 | 2006-06-19 |
| Find all providers in zip 98177 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417446535 | Responding To Autism Services Inc. | Clinic/Center | 4206 W 24th Ave Ste B101, Kennewick, WA 99338-2321 | 2018-05-03 |
| 1609228774 | Kidsmarts | Clinic/Center | 2518 E Calhoun St, Seattle, WA 98112-2616 | 2016-07-12 |
| 1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
| 1114098274 | Early Choice Pediatric Therapy, Pllc | Clinic/Center | 106 E 15th St, Vancouver, WA 98663-3401 | 2006-11-12 |
| 1598716748 | Innovative Services Nw | Clinic/Center | 9414 Ne Fourth Plain Road, Vancouver, WA 98662 | 2006-05-12 |
| 1265776918 | Public Hospital Dist No 1 Skagit | Clinic/Center | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2012-11-19 |
| 1407113236 | Olympic Peninsula Autism Center | Clinic/Center | 3500 Nw Bucklin Hill Rd, Suite 101, Silverdale, WA 98383-8503 | 2012-04-18 |
| 1144377094 | Childrens Hospital | Clinic/Center | 1135 116th Ave Ne, Bellevue, WA 98004-4623 | 2007-01-04 |
Please comment or provide details below to improve the information on WONDERLAND CHILD & FAMILY SERVICES.
| 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.