OrganizationActive
Wayne A. Formica
NPI 1902092422 · Community/Behavioral Health Agency · Queen Creek, AZ
Wayne A. Formica is a Community/Behavioral Health Agency organization in Queen Creek, AZ (NPI 1902092422).
Provider details
- NPI number
- 1902092422
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Wayne Formica, Licensed Professional Counselor(480) 677-4804
- License
- LPC 10413 (AZ)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2055 W Fruit Tree Ln
Queen Creek, AZ 85242-6356
Phone: (480) 677-4804
Fax: (480) 677-4804
Street-level locationGet directions
Mailing address
2055 W Fruit Tree Ln
Queen Creek, AZ 85242-6356
Registry dates
- Enumerated
- 2007-09-18
- Last updated
- 2007-09-18
Frequently asked questions
- What is Wayne A. Formica's NPI number?
- Wayne A. Formica's National Provider Identifier (NPI) is 1902092422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wayne A. Formica?
- Wayne A. Formica is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Wayne A. Formica located?
- Wayne A. Formica's practice location on file with NPPES is 2055 W Fruit Tree Ln, Queen Creek, AZ 85242-6356.
- What is Wayne A. Formica's phone number?
- The practice phone number listed in the NPPES registry for Wayne A. Formica is (480) 677-4804.
- Who is the authorized official for Wayne A. Formica?
- The authorized official listed on Wayne A. Formica's NPPES record is Wayne Formica, Licensed Professional Counselor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wayne A. Formica's NPI active?
- Yes — Wayne A. Formica's NPI (1902092422) is active in the NPPES registry as of the last update on 2007-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.