Wellcross Behavioral, PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WELLCROSS BEHAVIORAL, PLLC

Practice address

665 Main St
Waltham, MA 02451-0602

Phone

(954) 993-2040

Fax

(954) 990-6305

NPI assigned

Dec 22, 2022

Organization subpart

No

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

Authorized official

Name

Sherita Chang

Title

Coo

Phone

(954) 993-2040

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1326750241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 RED RD STE 606B",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256016",
            "telephone_number": "954-993-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024510602",
            "telephone_number": "954-993-2040",
            "fax_number": "954-990-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCROSS BEHAVIORAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SHERITA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-993-2040"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald G Weissman, DMD
• Paul P Weitzel, M.D.
• Welch Optics
• Janet F Welch, D.C.
• Bonnie Welden, MSW, LICSW
• Jamie Welsh
• Meghan Ann Welsh
• Aneesa Wermers, LCSW
• Michelle Christine Wertz
• Janice Marie Wesley, PT

• Multi-Specialty Clinic/Center in Waltham, MA
• Providers in Waltham, MA by specialty
• Multi-Specialty Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.