Defining Wellness Medical Center

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

Legal business name

DEFINING WELLNESS MEDICAL CENTER

Practice address

411 Hanover Cir Ste 100
Ridgeland, MS 39157-8814

Phone

(855) 761-1582

Fax

(769) 241-2605

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

Sonya MukherjeeNPI 1033572748

Title

Director of Revenue Cycle

Phone

(754) 261-8405

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Sonya Mukherjee

  • Other Technician
  • Jensen Beach, FL
  • NPI 1033572748
  NPD Authorized official

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1053050591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 HIGHWAY 43 N",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477240",
            "telephone_number": "754-261-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HANOVER CIR STE 100",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578814",
            "telephone_number": "855-761-1582",
            "fax_number": "769-241-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFINING WELLNESS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "MUKHERJEE",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "754-261-8405"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan De Jong
• Dea Dean LPC, LLC
• Rachel K Dear, PT
• Ebonye Dawn Debose-Moore, LPC
• Lacy Deese, LPC
• Natalie Scalise Degroff, FNP
• Leslie B Delaney, M.D.
• Arthur Delashmet, DPH
• Anna-Maria Dempsey, LPC
• Kimberly Burnham Denson, LCSW

• Behavioral Neurology & Neuropsychiatry Physician in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.