Active NPI
Wellness Psychotherapy LCSW PLLC
- Community/Behavioral Health Agency
- Warwick, NY
National Provider Identifier
1275248759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.