Organization Active NPI

Culture of Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
National Provider Identifier
1154929123
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CULTURE OF WELLNESS, LLC
Practice address
31 W 34TH St # 7058
New York, NY 10001-3009
Phone
(646) 757-4825
NPI assigned
Oct 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Latoya Gaines, PSY.D.NPI 1396201737
Title
Clinical Psychologist, Owner
Phone
(201) 486-4518

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

31 W 34TH St # 7058
New York, NY 10001-3009

Mailing address

31 W 34TH St # 7058
New York, NY 10001-3009

National Provider Directory

National Provider Directory

Locations

31 W 34th St
#7058
New York, NY 10001
Phone (646) 504-1442

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1154929123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W 34TH ST # 7058",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W 34TH ST # 7058",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013009",
            "telephone_number": "646-757-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTURE OF WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST, OWNER",
        "authorized_official_telephone_number": "201-486-4518",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.