Organization Active NPI

Elite Mental Health and Wellness

  • Multi-Specialty Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1164166377
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ELITE MENTAL HEALTH AND WELLNESS
Practice address
6738 S Tucana LN
Gilbert, AZ 85298-8784
Phone
(314) 629-1828
NPI assigned
Apr 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Mrs. Stella Wamuyu Waweru
Title
Owner
Phone
(314) 629-1828

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

6738 S Tucana LN
Gilbert, AZ 85298-8784

Mailing address

6738 S Tucana LN
Gilbert, AZ 85298-8784
Phone (314) 629-1828

National Provider Directory

National Provider Directory

Locations

1858 E Southern Ave
Tempe, AZ 85282
Phone (480) 755-1925

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1164166377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6738 S TUCANA LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852988784",
            "telephone_number": "314-629-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6738 S TUCANA LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852988784",
            "telephone_number": "314-629-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MENTAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "WAWERU",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "WAMUYU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-629-1828",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.