TD & SJC Wellness Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

TD & SJC WELLNESS SERVICES LLC

Practice address

17150 Newhope St Ste 208
Fountain Valley, CA 92708-4250

Phone

(253) 686-2854

NPI assigned

Apr 23, 2024

Organization subpart

No

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

Authorized official

Name

Stephen Carmel

Title

Owner

Phone

(253) 686-2854

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1124873013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17150 NEWHOPE ST STE 208",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084250",
            "telephone_number": "253-686-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17150 NEWHOPE ST STE 208",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084250",
            "telephone_number": "253-686-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TD & SJC WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "CARMEL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-686-2854"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taro Group LLC Dba Care 1 (Care 1)
• Kimberly Irene Tashkin, P.T.
• Jessica Larae Taylor, MFT TRAINEE
• John Miles Taylor, D.C.
• Kathleen N Taylor, MD
• Elsa A. Tekle, M.D.
• Isis Tello
• Deeling L Teng, MD
• Lauren Teng, DPT, PT
• Marcia Meade Tengan, NP

• Adult Mental Health Clinic/Center in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.