Wellspring Healthcare LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

34709 Issued in SC

Legal business name

WELLSPRING HEALTHCARE LLC

Practice address

1415 Blanding St Ste 4
Columbia, SC 29201-2922

Phone

(803) 779-7500

NPI assigned

May 15, 2018

Organization subpart

No

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

Authorized official

Name

Josneldavmatus Faiivae, MDNPI 1528323961

Title

Director

Phone

(803) 760-3306

Specialties & licenses 3

Addresses

Other names 1

• Wellspring Healthcare Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Josneldavmatus Hunkin Faiivae, M.D.

  • Child & Adolescent Psychiatry Physician
  • Columbia, SC
  • NPI 1528323961
  NPD Authorized official

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1386134435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25271",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292245271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BLANDING ST STE 4",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012922",
            "telephone_number": "803-779-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "FAIIVAE",
        "authorized_official_first_name": "JOSNELDAVMATUS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-760-3306",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "34709",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "34709",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "SC",
            "license": "34709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ronald Scott Wells, M.D.
• Sylvia K. Wells
• Thomas Alexander Wells
• Wellspring Counseling South Carolina
• Wellspring Family Medicine, PA
• Georgia Welnick, RN
• Robin Barrineau Welsh, MD
• Welvista
• Welvista
• Derick M Wenning, MD

• Psychiatry Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.