Organization Active NPI

Wellnite Medical Group of Kansas PA

  • Psychiatry Physician
  • Topeka, KS
National Provider Identifier
1376320986
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WELLNITE MEDICAL GROUP OF KANSAS PA
Practice address
1301 SW Topeka Blvd
Topeka, KS 66612-1942
Phone
(650) 761-9770
NPI assigned
Sep 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Elisa Swan
Title
Ceo
Phone
(877) 644-6008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1301 SW Topeka Blvd
Topeka, KS 66612-1942

Mailing address

2261 Market St # 4058
San Francisco, CA 94114-1612
Phone (855) 731-1410

Other practice location 1

800 SW Jackson St Ste 618
Topeka, KS 66612-1216
Phone (877) 644-6008

Other practice location 2

2611 SW 17th St
Topeka, KS 66604-2603
Phone (650) 761-9770

National Provider Directory

National Provider Directory

Locations

1301 SW Topeka Blvd
Topeka, KS 66612

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1376320986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 MARKET ST # 4058",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141612",
            "telephone_number": "855-731-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SW TOPEKA BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666121942",
            "telephone_number": "650-761-9770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 SW Jackson St Ste 618",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666121216",
            "country_code": "US",
            "telephone_number": "877-644-6008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2611 SW 17th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666042603",
            "country_code": "US",
            "telephone_number": "650-761-9770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNITE MEDICAL GROUP OF KANSAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-644-6008"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

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