Active NPI
Celena Katherine Wheeler
- Behavior Technician
- San Diego, CA
National Provider Identifier
1417462565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6965 Golfcrest Dr
San Diego, CA 92119 - Phone
- (619) 609-1110
- NPI assigned
- Dec 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | WA | Primary |
Addresses
Primary practice location
6965 Golfcrest Dr
San Diego, CA 92119
Mailing address
6965 Golfcrest Dr
San Diego, CA 92119-2472
Phone (619) 609-1110
Other practice location 1
12345 Pintail Ln NW Apt 101
Silverdale, WA 98383-7626
Phone (619) 609-1110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1417462565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6965 GOLFCREST DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921192472",
"telephone_number": "619-609-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6965 GOLFCREST DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92119",
"telephone_number": "619-609-1110"
}
],
"practiceLocations": [
{
"address_1": "12345 Pintail Ln NW Apt 101",
"address_purpose": "LOCATION",
"city": "Silverdale",
"state": "WA",
"postal_code": "983837626",
"country_code": "US",
"telephone_number": "619-609-1110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHEELER",
"first_name": "CELENA",
"middle_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-12",
"last_updated": "2018-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.