Spectrum Wellness

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SPECTRUM WELLNESS

Practice address

2307 W Cone Blvd Ste 140
Greensboro, NC 27408-4063

Phone

(919) 645-7138

NPI assigned

Apr 9, 2024

Organization subpart

No

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

Authorized official

Name

Imelda Bonner, PMHNP-BCNPI 1508140237

Title

Psychiatric Nurse Practitioner

Phone

(919) 645-7138

Specialties & licenses 1

Addresses

Practitioners 1

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

• Imelda Awuor Bonner, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
  • NPI 1508140237
  NPD Authorized official

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1396598330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 W CONE BLVD STE 140",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084063",
            "telephone_number": "919-645-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 W CONE BLVD STE 140",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084063",
            "telephone_number": "919-645-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "919-645-7138",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Special K Services Inc.
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• Specialized Home Care Redevelopment, Inc
• Allison Speckhard, MS
• Spectramd, Inc.
• Paul Wesley Spell, D.C.
• Roger Earl Spell, DC
• Spence Counseling PLLC
• Anteia D Spence, SUDRC
• Jessica Lea Mounier Spence, LCMHCS

• Mental Health Clinic/Center (Including Community Mental Health Center) in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.