Wellstone Healing Center

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

WELLSTONE HEALING CENTER

Practice address

1801 Bush St Ste 209
San Francisco, CA 94109-5297

Phone

(415) 323-0161

Fax

(415) 326-8085

NPI assigned

Jul 19, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Elena Noelle Gomez

Title

Founder

Phone

(415) 323-0161

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1295308203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936B 7TH ST # 152",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949453002",
            "telephone_number": "415-323-0161",
            "fax_number": "415-326-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BUSH ST STE 209",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095297",
            "telephone_number": "415-323-0161",
            "fax_number": "415-326-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTONE HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "NOELLE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "415-323-0161",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Michelle Wells, PT
• Madison R Wells
• Shallyn Wells, AMFT
• Thomas Edward Wells
• Wellspring Medical Group, Inc.
• Wellthy Psychiatry and Wellness, a Professional Nursing Corporation
• Clark T Welsh, O.D.
• Dianna Welsh
• Kathleen Marie Welsh, MD
• Nicholas James Welsh, MD

• Clinical Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.