NPIMap

Organization Active NPI

Wellness Psychiatry Group, P.C.

  • Psychiatry Physician
  • Mooresville, NC
National Provider Identifier
1013263151
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1267930 Issued in NC
Legal business name
WELLNESS PSYCHIATRY GROUP, P.C.
Practice address
249 Williamson Rd
Suite 102
Mooresville, NC 28117-8195
Phone
(704) 912-7037
NPI assigned
Jul 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Umang Shah, M.D.,NPI 1376707810
Title
Co-Owner
Phone
(704) 912-7037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 1267930 NC Primary

Addresses

Primary practice location

249 Williamson Rd
Suite 102
Mooresville, NC 28117-8195

Mailing address

249 Williamson Rd
Suite 102
Mooresville, NC 28117-8195

National Provider Directory

National Provider Directory

Locations

249 Williamson Rd
Ste 102
Mooresville, NC 28117
Phone (704) 696-8005

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1013263151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 WILLIAMSON RD",
            "address_2": "SUITE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 WILLIAMSON RD",
            "address_2": "SUITE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178195",
            "telephone_number": "704-912-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PSYCHIATRY GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "UMANG",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "704-912-7037",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "1267930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.