Organization Active NPI

Wellness Psychotherapy LCSW PLLC

  • Community/Behavioral Health Agency
  • Warwick, NY
National Provider Identifier
1275248759
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WELLNESS PSYCHOTHERAPY LCSW PLLC
Practice address
65 Main St Ste 100
Warwick, NY 10990-1347
Phone
(347) 916-6364
Fax
(845) 618-1285
NPI assigned
Jan 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Mileidy A Paula, LCSW
Title
Ceo
Phone
(347) 916-6364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

65 Main St Ste 100
Warwick, NY 10990-1347

Mailing address

108 Main St Unit 1263
Warwick, NY 10990-7053
Phone (347) 916-6364

Other names 1

  • Transcend Wellness & Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

108 Main St
Unit 1263
Warwick, NY 10990

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1275248759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MAIN ST UNIT 1263",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109907053",
            "telephone_number": "347-916-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MAIN ST STE 100",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901347",
            "telephone_number": "347-916-6364",
            "fax_number": "845-618-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PSYCHOTHERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "PAULA",
        "authorized_official_first_name": "MILEIDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-916-6364",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transcend Wellness & Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warwick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.