Wholesome Community Members Club Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WHOLESOME COMMUNITY MEMBERS CLUB INC

Practice address

6309 Van Nuys Blvd Ste 102
Van Nuys, CA 91401-6629

Phone

(818) 239-9586

NPI assigned

Oct 5, 2018

Organization subpart

No

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

Authorized official

Name

Melvin Douglas Mitchell, PMHNP-BC

Title

Nurse Practitioner

Phone

(818) 239-9586

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Afsheen Izadi

  • Marriage & Family Therapist
  • Rosamond, CA
  • NPI 1194023994
  NPD (past)

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1396210373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1763",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913531763",
            "telephone_number": "818-239-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 VAN NUYS BLVD STE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016629",
            "telephone_number": "818-239-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLESOME COMMUNITY MEMBERS CLUB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "818-239-9586",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Whitelock
• Renee Whitesinger
• Angela Whitfield
• Chloe Danielle Whittaker
• Candace Whittle
• Wholesome Home Health, Inc.
• Francesca Wieden
• Laureen Anne Wierenga, CAADE
• Joellen Wiggington, PH.D.
• Mary Jane Wightman

• Psychiatric/Mental Health Nurse Practitioner in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.