Mental Wellness KS, Inc

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

MENTAL WELLNESS KS, INC

Practice address

502 N Cerritos Dr
Palm Springs, CA 92262-6228

Phone

(888) 312-4262

NPI assigned

May 20, 2021

Organization subpart

No

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

Authorized official

Name

Eric McLaughlinNPI 1295191070

Title

Ceo

Phone

(323) 401-3660

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

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

• Eric McLaughlin, LCSW # 129948

  • Clinical Social Worker
  • Palm Springs, CA
  • NPI 1295191070
  NPD Authorized official
• Christian Robert Small, MD

  • Psychiatry Physician
  • Escondido, CA
  • NPI 1740546209
  NPD (past)

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1053986315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E TAHQUITZ CANYON WAY STE B1",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627061",
            "telephone_number": "888-312-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N CERRITOS DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626228",
            "telephone_number": "888-312-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL WELLNESS KS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-401-3660"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ksc11241.kipuworks.com/users/sign_in",
            "affiliation": "N",
            "endpointDescription": "Online Electronic Health Record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "502 N Cerritos Dr",
            "city": "Palm Springs",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922626228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rosalia Mendoza, PPS
• Uzziel Meneses
• David Andrew Menges, DO
• Stuart Jay Menn, M.D.
• Rosalinda Maria Menoni, MD
• Murtaza Merali, OD
• Theodore Mercado, RN
• Todd A Mercier
• Merit Healthcare Inc.
• Jason Merza

• Psychiatric Residential Treatment Facility in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.