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JOHN PAUL WUNDERLICH MA NPI 1568958239


NPI Information

NPI: 1568958239
Provider Name: JOHN PAUL WUNDERLICH, MA
Classification: Counselor - 101Y00000X
Entity Type: Individual
Organization: ST. LOUIS BEHAVIORAL MEDICINE INSTITUTE INC

PECOS Registration: Yes

Address:
118 N SALLY DR
WINAMAC, IN
ZIP 46996
Phone: (574) 946-4233
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John Paul Wunderlich, MA is a counselor in Winamac, IN with 5 years of experience. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. John Paul Wunderlich, MA NPI is 1568958239. 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:

118 N SALLY DR
WINAMAC, IN
ZIP 46996
Phone: (574) 946-4233
Fax: (574) 946-4365

The NPI 1568958239 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/6/2018 and was last updated on 7/6/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes

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: 11/14/2023

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.