Organization Active NPI

Wellsprings Behavioural Health Care LLC

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Mesa, AZ
National Provider Identifier
1215527064
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
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

Updated by the provider on Dec 28, 2022

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)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0807X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
NAOtherAZNA

Other names 1

  • Top Psych Mental Health LLC Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.