Unlocking Potential Within, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

UNLOCKING POTENTIAL WITHIN, LLC

Practice address

7110 Oakland Ave Ste 105
Richmond Heights, MO 63117-1870

Phone

(314) 391-5465

Fax

(314) 227-9327

NPI assigned

Dec 3, 2024

Organization subpart

No

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

Authorized official

Name

Andrew Wislocki, PHDNPI 1053895185

Title

Owner

Phone

(352) 359-1482

Specialties & licenses 1

Addresses

Practitioners 1

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

• Andrew Peter Wislocki, PHD

  • Clinical Psychologist
  • Wentzville, MO
  • NPI 1053895185
  NPD Authorized official

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1093531295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 HILLARD RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223256",
            "telephone_number": "352-359-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 OAKLAND AVE STE 105",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171870",
            "telephone_number": "314-391-5465",
            "fax_number": "314-227-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLOCKING POTENTIAL WITHIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "WISLOCKI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-359-1482",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Annette B Tulley, PT, DPT, CERT. MDT
• Christopher Alan Utrup, D.C.
• Sharon Kaye Vance, RD LD
• Anna Varghese, MA, NCC
• Elizabeth Tina Veraldi, OTR/L, CHT
• Veritas Forensic Psychiatry, LLC

• Adult Mental Health Clinic/Center in Richmond Heights, MO
• Providers in Richmond Heights, MO by specialty
• Adult Mental Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.