Active NPI
Wellsprings Behavioural Health Care LLC
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Mesa, AZ
National Provider Identifier
1215527064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Legal business name
- WELLSPRINGS BEHAVIOURAL HEALTH CARE LLC
- Practice address
- 1330 S Aaron
Mesa, AZ 85209-3786 - Phone
- (602) 688-2191
- NPI assigned
- Jan 25, 2021
- 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
- Ihuoma Nwoke
- Title
- Owner
- Phone
- (602) 688-2191
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
1330 S Aaron
Mesa, AZ 85209-3786
Mailing address
PO Box 25444
Tempe, AZ 85285-5444
Phone (602) 688-2191
Other practice location 1
16306 N 137th Dr
Surprise, AZ 85374-4087
Phone (162) 331-5288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | AZ | NA |
Other names 1
- Top Psych Mental Health LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672185600000",
"number": "1215527064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25444",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852855444",
"telephone_number": "602-688-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 S AARON",
"city": "MESA",
"state": "AZ",
"postal_code": "852093786",
"telephone_number": "602-688-2191"
}
],
"practiceLocations": [
{
"address_1": "16306 N 137th Dr",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853744087",
"country_code": "US",
"telephone_number": "162-331-5288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WELLSPRINGS BEHAVIOURAL HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-25",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A",
"authorized_official_last_name": "NWOKE",
"authorized_official_first_name": "IHUOMA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-688-2191"
},
"taxonomies": [
{
"code": "163WP0807X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Top Psych Mental Health LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Top Psych Mental Health LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.