Organization Active NPI

Wel-Mor Psychology Group, Inc

  • Psychologist
  • Anaheim, CA
National Provider Identifier
1366000143
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WEL-MOR PSYCHOLOGY GROUP, INC
Practice address
415 N State College Blvd
Anaheim, CA 92806-2917
Phone
(714) 540-9070
Fax
(714) 884-4347
NPI assigned
Jun 5, 2019
Last updated
Aug 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
David WelchNPI 1467740571
Title
Director
Phone
(714) 540-9070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

415 N State College Blvd
Anaheim, CA 92806-2917

Mailing address

4019 Westerly PL Ste 102
Newport Beach, CA 92660-2333
Phone (714) 540-9070

National Provider Directory

National Provider Directory
Tax ID family
Wel-Mor Psychology Group Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2900 Bristol St
Ste E103
Costa Mesa, CA 92626
Phone (714) 331-7200

1370 Brea Blvd
Ste 224
Fullerton, CA 92835

1440 N Harbor Blvd
Ste 725
Fullerton, CA 92835

4019 Westerly Pl
Ste 102
Newport Beach, CA 92660
Phone (714) 519-6461

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1366000143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 WESTERLY PL STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602333",
            "telephone_number": "714-540-9070",
            "fax_number": "714-884-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N STATE COLLEGE BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062917",
            "telephone_number": "714-540-9070",
            "fax_number": "714-884-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEL-MOR PSYCHOLOGY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-540-9070"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.