WISHING WELL CHILDREN'S CLINIC, PLLC
NPI 1619440450
Pediatrics - Adolescent Medicine in Katy, TX

Q: What is Wishing Well Children's Clinic, PLLC's NPI number?

The NPI number for Wishing Well Children's Clinic, PLLC is 1619440450. It was assigned to this organization in the NPPES registry on January 4, 2019.

Q: What is Wishing Well Children's Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since January 04, 2019CLIA 45D2169489 · Waiver

1259 FM 1463, SUITE 300, KATY, TX 77494(832) 856-4600 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2024, Jan 4, 2019 (2 updates tracked since 2019).

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About Wishing Well Children's Clinic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WISHING WELL CHILDREN'S CLINIC, PLLC (NPI 1619440450) is a healthcare organization registered as an adolescent medicine in Katy, Texas and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Rosabelle Via Mcconkey, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1619440450

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameWISHING WELL CHILDREN'S CLINIC, PLLC

Location Address1259 FM 1463, SUITE 300Katy, TX 77494

Mailing Address1259 Fm 1463, Suite 300Katy, TX 77494 · (832) 856-4600

Phone(832) 856-4600

Organization SubpartNo

Authorized OfficialRosabelle Via McconkeyPediatrician · (832) 856-4600

Enumeration DateJanuary 4, 2019

Last NPPES UpdateMay 16, 20242 updates tracked since enumeration

NPPES CertifiedMay 16, 2024

✔ NPI 1619440450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

1259 FM 1463, Katy, TX 77494

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2169489

Wishing Well Children's Clinic, PLLC · Katy, TX

Active · expires Jul 21, 2027

CLIA Number45D2169489

Laboratory TypePhysician Office

Certificate Effective DateJuly 22, 2025

Certificate Expiration DateJuly 21, 2027

Laboratory DirectorRosabelle Mcconkey

Laboratory Phone(832) 856-4600

Laboratory LocationWishing Well Children's Clinic, PLLC1259 Fm 1463, Suite 300, Katy, TX 77494

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wishing Well Children's Clinic, PLLC's NPI number?

The NPI number for Wishing Well Children's Clinic, PLLC is 1619440450. It was assigned to this organization in the NPPES registry on January 4, 2019.

Where is Wishing Well Children's Clinic, PLLC located?

Wishing Well Children's Clinic, PLLC is located at 1259 Fm 1463 Suite 300, Katy, TX 77494. The listed phone number is (832) 856-4600.

What is Wishing Well Children's Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Wishing Well Children's Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2169489) is associated with this NPI, valid through July 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wishing Well Children's Clinic, PLLC accept?

Health plans from WellPoint list Wishing Well Children's Clinic, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wishing Well Children's Clinic, PLLC was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.