Well Psyche Medical Group

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A92472 Issued in CA

Legal business name

WELL PSYCHE MEDICAL GROUP

Practice address

15260 Ventura Blvd Ste 1200
Sherman Oaks, CA 91403-5347

Phone

(310) 871-0670

Fax

(310) 469-7845

NPI assigned

Jan 10, 2013

Organization subpart

No

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

Authorized official

Name

Adel Mostafavi, MDNPI 1962526756

Title

Ceo

Phone

(949) 400-2488

Specialties & licenses 3

Addresses

Practitioners 1

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

• Adel Mostafavi, MD

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1962526756
  NPD Authorized official

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1235476318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15260 VENTURA BLVD STE 1200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035347",
            "telephone_number": "310-871-0670",
            "fax_number": "310-469-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15260 VENTURA BLVD STE 1200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035347",
            "telephone_number": "310-871-0670",
            "fax_number": "310-469-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL PSYCHE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2024-06-21",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "MOSTAFAVI",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-400-2488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A92472",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A92472",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Weisman, LMFT
• Jared Weiss
• Robert Weiss, MSW
• Sholom Weiss
• Ashlee Marie Welday, M.S. SLP
• Wellbeing 21, Inc
• Sarah Welsch
• Maria Fernanda Welsh, BCBA
• Shelle Welty, PSY.D.
• Sharon Wermut, P.T.

• Child & Adolescent Psychiatry Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.