MARK EDWARD WAKEFIELD MA MBA NPI 1568617702

NPI Information

NPI: 1568617702
Provider Name: MARK EDWARD WAKEFIELD, MA, MBA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1709 S PARK ST
MADISON, WI
ZIP 53713
Phone: (608) 223-0017
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Mark Edward Wakefield, MA, MBA is a mental health counselor in Madison, WI. Mark Edward Wakefield, MA, MBA NPI is 1568617702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1709 S PARK ST
MADISON, WI
ZIP 53713-200
Phone: (608) 223-0017
Fax: (608) 223-0019

The enumeration date for this NPI number is 12/1/2008 and was last updated on 12/1/2008.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	13764132	WISCONSIN	No
2	101YM0800X	Counselor	Mental Health	479226	WISCONSIN	Yes

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: 4/28/2024

NPI Synchronization or Removal

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