Active NPI
Transition Wellness
- Psychiatric/Mental Health Nurse Practitioner
- Patchogue, NY
National Provider Identifier
1184183683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- TRANSITION WELLNESS
- Doing business as
- Transition Wellness
- Practice address
- 122 W Roe Blvd
Patchogue, NY 11772-2569 - Phone
- (631) 493-7636
- NPI assigned
- Mar 14, 2019
- 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
- Diane E Wahne, PMHNP-BC
- Title
- Owner
- Phone
- (631) 493-7636
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
122 W Roe Blvd
Patchogue, NY 11772-2569
Mailing address
15 New Mill Rd
Smithtown, NY 11787-3323
Phone (631) 493-7636
Other names 1
- Transition Wellness
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Patchogue, NY
- NPI 1619454139
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552521600000",
"number": "1184183683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 NEW MILL RD",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873323",
"telephone_number": "631-493-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 W ROE BLVD",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117722569",
"telephone_number": "631-493-7636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANSITION WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-14",
"last_updated": "2019-03-14",
"status": "A",
"authorized_official_last_name": "WAHNE",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-493-7636",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Transition Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.