Organization Active NPI

Welleo Health, a Psychological Corporation

Doing business as Men's Therapy Center

  • Cognitive & Behavioral Psychologist
  • Palo Alto, CA
National Provider Identifier
1386362424
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
WELLEO HEALTH, A PSYCHOLOGICAL CORPORATION
Doing business as
Men's Therapy Center
Practice address
230 California Ave Ste 107
Palo Alto, CA 94306-1637
Phone
(415) 874-5652
NPI assigned
Aug 15, 2022
Last updated
Aug 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Ross Nelson, PSY.D.NPI 1831321520
Title
Ceo and Founder
Phone
(858) 442-6834

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
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X Primary

Addresses

Primary practice location

230 California Ave Ste 107
Palo Alto, CA 94306-1637

Mailing address

230 California Ave Ste 107
Palo Alto, CA 94306-1637
Phone (415) 874-5652

Other names 1

  • Men's Therapy Center Doing business as

National Provider Directory

National Provider Directory

Locations

230 California Ave
Ste 107
Palo Alto, CA 94306
Phone (415) 874-5652

Practitioners & affiliated clinicians

Practitioners 1

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": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1386362424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CALIFORNIA AVE STE 107",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061637",
            "telephone_number": "415-874-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CALIFORNIA AVE STE 107",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061637",
            "telephone_number": "415-874-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLEO HEALTH, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "CEO AND FOUNDER",
        "authorized_official_telephone_number": "858-442-6834",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Men's Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.