Active NPI
Wellnite Medical Group of Kansas PA
- Psychiatry Physician
- Topeka, KS
National Provider Identifier
1376320986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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 DirectoryLocations
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.