A Different Path Mental Wellness, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

A DIFFERENT PATH MENTAL WELLNESS, PLLC

Practice address

4022 Shipyard Blvd Unit 2
Wilmington, NC 28403-6190

Phone

(910) 726-2002

Fax

(910) 401-1579

NPI assigned

Feb 11, 2025

Organization subpart

No

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

Authorized official

Name

Kaitlyn Patterson, LPANPI 1407359979

Title

Co-Owner

Phone

(910) 726-2002

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kaitlyn Patterson

  • Psychologist
  • Wilmington, NC
  • NPI 1407359979
  NPD Authorized official

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1083429591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 DEVONSHIRE LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284098145",
            "telephone_number": "910-726-2002",
            "fax_number": "910-401-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 SHIPYARD BLVD UNIT 2",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036190",
            "telephone_number": "910-726-2002",
            "fax_number": "910-401-1579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 Culbreth Dr Ste 217",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284054559",
            "country_code": "US",
            "telephone_number": "910-726-2002 x701",
            "fax_number": "910-401-1579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A DIFFERENT PATH MENTAL WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "910-726-2002",
        "authorized_official_credential": "LPA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.