Organization Active NPI

Wellness TMS LLC

Doing business as Wellness TMS

  • Psychiatry Physician
  • Long Beach, CA
National Provider Identifier
1023862737
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WELLNESS TMS LLC
Doing business as
Wellness TMS
Practice address
500 W Willow St Ste 101
Long Beach, CA 90806-2831
Phone
(562) 784-4111
Fax
(562) 488-9200
NPI assigned
Apr 17, 2024
Last updated
Nov 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Authorized official

Name
Mr. Frederick Quindt V
Title
Manager
Phone
(562) 784-4111

Specialties & licenses 1

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

Addresses

Primary practice location

500 W Willow St Ste 101
Long Beach, CA 90806-2831

Mailing address

500 W Willow St Ste 101
Long Beach, CA 90806-2831
Phone (562) 784-4111

Other practice location 1

2780 Skypark Dr Ste 226
Torrance, CA 90505-5341
Phone (562) 784-4111

Other names 1

  • Wellness TMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250103002579 CA Part B Supplier - Clinic/Group Practice 4880122811 Receives reassigned benefits from 2 practitioners
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

2780 Skypark Dr
Ste 226
Torrance, CA 90505
Phone (562) 784-4111

8605 Santa Monica Blvd
#620836
West Hollywood, CA 90069

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1023862737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W WILLOW ST STE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062831",
            "telephone_number": "562-784-4111",
            "fax_number": "562-488-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W WILLOW ST STE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062831",
            "telephone_number": "562-784-4111",
            "fax_number": "562-488-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2780 Skypark Dr Ste 226",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905055341",
            "country_code": "US",
            "telephone_number": "562-784-4111",
            "fax_number": "562-488-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS TMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "QUINDT",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "562-784-4111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "V"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness TMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.