Active NPI
Elite Mental Health and Wellness
- Multi-Specialty Clinic/Center
- Gilbert, AZ
National Provider Identifier
1164166377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.