Wellpsyche Seattle PC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

WELLPSYCHE SEATTLE PC

Practice address

801 2ND Ave Ste 800
Seattle, WA 98104-1573

Phone

(310) 871-0670

NPI assigned

Apr 15, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Adel Mostafavi, MD

Title

Ceo

Phone

(949) 400-2488

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1235792326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 WILSHIRE BLVD STE 1705",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175600",
            "telephone_number": "310-871-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 2ND AVE STE 800",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041573",
            "telephone_number": "310-871-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPSYCHE SEATTLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness Home LLC
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• Wellness Occupational Therapy LLC
• Wellnite Medical Group PA
• Wells Integrative Medicine, LLC
• Wells Wellness Group LLC
• Juleeann Wells-Driscoll, PA-C, MHS, MS
• Jolyn Wells-Moran, PHD, MSW, LMHC
• Amy Suzanne Wells, ND, LMT

• Child & Adolescent Psychiatry Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Child & Adolescent Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.