WADELINE THEODORE (NPI# 1841756442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841756442 |
| Entity Type | Individual |
| Full Name | WADELINE THEODORE |
| Credential | MHC |
| Practice Address |
430 Niagara St Buffalo NY 14201-1886 |
| Practice Telephone | 7168562587 |
| Mailing Telephone | 7168562587 |
| Mailing Fax Number | 7168562608 |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Center Rd, West Seneca, NY 142241946 | 7162809214 |
| Street Address |
430 NIAGARA ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14201-1886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285628149 | Dianne M Loomis | Family Medicine | 430 Niagara St, Ubmd At Lakeshore, Buffalo, NY 14201-1886 | 2005-09-07 |
| 1477153906 | Veronica Thompson | Peer Specialist | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-10-26 |
| 1023616638 | Eilise Maeve Shaw | Peer Specialist | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-10-15 |
| 1083226914 | Iris Savoy-burke | Peer Specialist | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-08-21 |
| 1235749300 | Kaitlyn Haux | Case Manager/Care Coordinator | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-08-04 |
| 1134737638 | Sedaya Thorne | Counselor | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-07-21 |
| 1306464086 | Anna Marinsky Sharpe | Counselor | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-07-09 |
| 1356965032 | Karan Walker | Counselor | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-05-29 |
| 1942824560 | Bianca J Bassett | Counselor | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-05-29 |
| 1528681434 | Linzy Jourdi | Counselor | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-05-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619592201 | Linda Berkoh-asamoah | Nurse Practitioner | Evergreen Health Services, 206 S. Elmwood Avenue, Buffalo, NY 14201 | 2020-06-10 |
| 1790223303 | Walaa Kadhum | Social Worker | 340 Niagara Street, Buffalo, NY 14201 | 2017-02-02 |
| 1285171025 | Santina Grace Phillips | Counselor | 10 Symphony Circle, Buffalo, NY 14201 | 2017-01-31 |
| 1073976759 | Jana Riesterer | Social Worker | 254 Virginia Street, Buffalo, NY 14201 | 2016-03-31 |
| 1710309414 | Chs N.y. Medical P.C. | General Practice | 10 Sheridan Rd, Buffalo, NY 14201 | 2014-01-15 |
| 1467722314 | Kristin Nicole Halter | Counselor | 591 Niagara Street, Buffalo, NY 14201 | 2012-01-10 |
| 1538446844 | Robert Martin Kennuth | Specialist/Technologist | 329 Porter Ave, D'youville College, Buffalo, NY 14201 | 2011-11-15 |
| 1902115033 | James W Burcher | Registered Nurse | 430 Niagara, Buffalo, NY 14201 | 2010-10-07 |
| 1336468115 | Jane Leslie Burgio | Speech-Language Pathologist | 315 Carolina St, Buffalo, NY 14201 | 2010-05-19 |
| 1376787044 | Jessica Christina | Licensed Practical Nurse | 85 Johnson Park, Buffalo, NY 14201 | 2009-04-26 |
| Find all providers in zip 14201 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022483 | Autumn Marie Hayes I | Counselor | 625 Deleware Avenue, Suite 204, Buffalo, NY 14202 | 2020-04-24 |
| 1285265439 | Michael Scott Cammarata | Counselor | 1148 Michigan Ave, Buffalo, NY 14209-2316 | 2020-01-27 |
| 1609410919 | Amanda G Lumadue | Counselor | 77 Broadway St Ste 100, Buffalo, NY 14203-1642 | 2019-10-30 |
| 1104477900 | Nancy Jean Marcussen | Counselor | 135 Delaware Ave Ste 210, Buffalo, NY 14202-2410 | 2019-09-23 |
| 1205311073 | Rebecca S. Pikoff | Counselor | 374 Delaware Ave, Buffalo, NY 14202-1621 | 2018-09-27 |
| 1235633447 | Elizabeth Randall | Counselor | 6176 Sheridan Dr, Buffalo, NY 14221-4812 | 2018-03-21 |
| 1225548878 | Allison A Trusso-lahey | Counselor | 495 Parker Ave, Buffalo, NY 14216-2108 | 2017-10-10 |
| 1285171025 | Santina Grace Phillips | Counselor | 10 Symphony Circle, Buffalo, NY 14201 | 2017-01-31 |
| 1760938716 | Karen Kahler | Counselor | 1772 Donnelly Dr Nw, Buffalo, MN 55313 | 2016-08-30 |
| 1457706277 | Elizabeth Ann Siematkowski I | Counselor | 597 Elmwood Ave, Apt. 11b, Buffalo, NY 14222-1837 | 2016-04-29 |
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| 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.