Provider Type Icon

WONDERLAND CHILD & FAMILY SERVICES NPI 1003478660


NPI Information

NPI: 1003478660
Provider Name: WONDERLAND CHILD & FAMILY SERVICES

Former Legal Business Name: WONDERLAND DEVELOPMENTAL CENTER

Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
2402 NW 195TH PL
SHORELINE, WA
ZIP 98177
Phone: (206) 364-3777
Get Directions

WONDERLAND CHILD & FAMILY SERVICES is a developmental disabilities clinic center in Shoreline, WA. The provider is 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.). WONDERLAND CHILD & FAMILY SERVICES NPI is 1003478660. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Wonderland Developmental Center.

The provider's business location address is:

2402 NW 195TH PL
SHORELINE, WA
ZIP 98177-932
Phone: (206) 364-3777
Fax: (206) 364-3999

The provider's authorized official is Kristi Johnson .
The authorized official title is Billing Specialist and has the following contact phone number (206) 364-3777.

The enumeration date for this NPI number is 7/3/2019 and was last updated on 8/16/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
22251P0200XPhysical TherapistPediatricsNo
3225X00000XOccupational TherapistNo
4235Z00000XSpeech-Language PathologistNo
5261QD1600XClinic/CenterDevelopmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1768265MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.