Wholly Integrated Mental Health for Children,Adolescents&Young Adults

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

WHOLLY INTEGRATED MENTAL HEALTH FOR CHILDREN,ADOLESCENTS&YOUNG ADULTS

Practice address

107 Figueroa St Ste 5
Ventura, CA 93001-2756

Phone

(818) 746-8458

NPI assigned

Jul 10, 2026

Organization subpart

No

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

Authorized official

Name

Maryellen Dyer-Russell, DNP; PMHNP

Title

Owner of Nursing Corportation

Phone

(805) 798-4108

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786233600000",
    "number": "1023937406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 GLADE AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032318",
            "telephone_number": "805-798-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FIGUEROA ST STE 5",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012756",
            "telephone_number": "818-746-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLLY INTEGRATED MENTAL HEALTH FOR CHILDREN,ADOLESCENTS&YOUNG ADULTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-08-09",
        "certification_date": "2026-08-09",
        "status": "A",
        "authorized_official_last_name": "DYER-RUSSELL",
        "authorized_official_first_name": "MARYELLEN",
        "authorized_official_title_or_position": "OWNER OF NURSING CORPORTATION",
        "authorized_official_telephone_number": "805-798-4108",
        "authorized_official_credential": "DNP; PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Whiting, CPO
• Spencer Whiting, DO
• Todd Whitmore, PT, DPT
• Tea Whitney, RBT
• Casey Whittemore, LMFT
• Barbara Lillian Widmer, DPM
• Chelsea Wieland
• Diana Christine Wightman, M.A., LMFT
• Michelle Wilcox
• Patti Wilczek

• Adolescent and Children Mental Health Clinic/Center in Ventura, CA
• Providers in Ventura, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; 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.