Active NPI
Wellness Recovery
- Community/Behavioral Health Agency
- Middletown, DE
National Provider Identifier
1154063733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- WELLNESS RECOVERY
- Practice address
- 600 N Broad St Ste 5
Middletown, DE 19709-1032 - Phone
- (484) 463-7537
- NPI assigned
- Apr 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kidian Martinez
- Title
- Owner
- Phone
- (484) 802-1710
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
600 N Broad St Ste 5
Middletown, DE 19709-1032
Mailing address
2346 Chipmunk LN
Secane, PA 19018-4504
Phone (484) 802-1710
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Wilmington, DE
- NPI 1477068187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649721600000",
"number": "1154063733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2346 CHIPMUNK LN",
"city": "SECANE",
"state": "PA",
"postal_code": "190184504",
"telephone_number": "484-802-1710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N BROAD ST STE 5",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197091032",
"telephone_number": "484-463-7537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-12",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "KIDIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "484-802-1710"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.