Individual provider Active NPI

Princess M Wesley

  • Adolescent and Children Mental Health Clinic/Center
  • Lancaster, CA
National Provider Identifier
1093379430
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Practice address
44734 27TH St E
Lancaster, CA 93535-2829
Phone
(818) 205-8708
Fax
(844) 367-9513
NPI assigned
Apr 30, 2019
Last updated
May 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

44734 27TH St E
Lancaster, CA 93535-2829

Mailing address

44734 27TH St E
Lancaster, CA 93535-2829
Phone (818) 205-8708

Other practice location 1

43894 44th St W
Lancaster, CA 93536-6871
Phone (661) 200-9924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A New Beginning for Me Adolescent and Children Mental Health CurrentSince May 16, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1093379430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44734 27TH ST E",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935352829",
            "telephone_number": "818-205-8708",
            "fax_number": "844-367-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44734 27TH ST E",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935352829",
            "telephone_number": "818-205-8708",
            "fax_number": "844-367-9513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43894 44th St W",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935366871",
            "country_code": "US",
            "telephone_number": "661-200-9924",
            "fax_number": "844-367-9513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "PRINCESS",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.