Mental Wellness Services, LLC

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

Legal business name

MENTAL WELLNESS SERVICES, LLC

Practice address

3605 NW 175TH St
Edmond, OK 73012-6901

Phone

(405) 470-1884

Fax

(405) 470-1028

NPI assigned

Apr 16, 2014

Organization subpart

No

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

Authorized official

Name

Denise Cato

Title

Administrator

Phone

(405) 470-1884

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1346660412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 NW 175TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730126901",
            "telephone_number": "405-470-1884",
            "fax_number": "405-470-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 NW 175TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730126901",
            "telephone_number": "405-470-1884",
            "fax_number": "405-470-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "CATO",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-470-1884"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Jacqueline Mendoza
• Samantha Mendoza, COTA/L
• Eunice Wamuyu Menja, LMFT-C
• Mental Health Resources Corp.
• Mental Wellbeing Psychiatry LLC
• Kristin Merchant, M.S., CCC-SLP
• Mercy Access LLC
• Mercy Health Network Inc
• Mercy Hospital Oklahoma City, Inc.
• Mercy Pharmacy Services, LLC

• All providers in Edmond, OK
• Health Service Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.