Wellmind Center, a Medical Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WELLMIND CENTER, A MEDICAL CORPORATION

Practice address

1400 N. Dutton Avenue
Suite #6
Santa Rosa, CA 95401-4644

Phone

(707) 566-9355

Fax

(707) 566-4644

NPI assigned

Jan 11, 2017

Organization subpart

Yes

Parent organization

JENNIFER BECK M.D.As reported in NPPES

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

Authorized official

Name

Mr. Anthony Stever

Title

Practice Manager

Phone

(707) 327-6000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Paula Beck, M.D.

  • Psychiatry Physician
  • Santa Rosa, CA
  • NPI 1669523387
  NPD (past)

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1174069371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N. DUTTON AVENUE",
            "address_2": "SUITE #6",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014644",
            "telephone_number": "707-566-9355",
            "fax_number": "707-566-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N. DUTTON AVENUE",
            "address_2": "SUITE #6",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014644",
            "telephone_number": "707-566-9355",
            "fax_number": "707-566-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMIND CENTER, A MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JENNIFER BECK M.D.",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "STEVER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "707-327-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Welch
• Morgan Alexander Welch, D.O.
• Ronald Welch, MD
• Maurice Welker
• Wellbound of Santa Rosa LLC
• Jane Wells
• Jasmine Belinda Wells
• Mary Ellen Wells, PT
• Shelley Ann Wells
• Isabella Welsh

• Psychiatry Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.