NPIMap

Organization Active NPI

Wellmind Online Ca Licensed Clinical Social Worker Prof Corp

Doing business as Wellmind

  • Psychiatry Physician
  • Palo Alto, CA
National Provider Identifier
1447871272
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WELLMIND ONLINE CA LICENSED CLINICAL SOCIAL WORKER PROF CORP
Doing business as
Wellmind
Practice address
2100 Geng Rd Ste 210
Palo Alto, CA 94303-3307
Phone
(833) 646-3243
Fax
(650) 414-0378
NPI assigned
May 4, 2020
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Laura Beann, LCSWNPI 1528444262
Title
Ceo
Phone
(833) 646-3243

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
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

2100 Geng Rd Ste 210
Palo Alto, CA 94303-3307

Mailing address

2100 Geng Rd Ste 210
Palo Alto, CA 94303-3307
Phone (707) 888-6813

Other names 1

  • Wellmind Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210427000465 CA Part B Supplier - Clinic/Group Practice 5193136646 Receives reassigned benefits from 52 practitioners
Practice locations: Palo Alto, CA

National Provider Directory

National Provider Directory

Locations

888 Prospect St
La Jolla, CA 92037
Phone (619) 804-0609

980 9th St
Sacramento, CA 95814

99 Almaden Blvd
San Jose, CA 95113
Phone (707) 641-6006

2450 Colorado Ave
Santa Monica, CA 90404

130 Petaluma Ave
Ste 2D
Sebastopol, CA 95472
Phone (707) 888-6813

Practitioners & affiliated clinicians

Practitioners 80

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.

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1447871272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 GENG RD STE 210",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033307",
            "telephone_number": "707-888-6813",
            "fax_number": "650-414-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 GENG RD STE 210",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033307",
            "telephone_number": "833-646-3243",
            "fax_number": "650-414-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMIND ONLINE CA LICENSED CLINICAL SOCIAL WORKER PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "BEANN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-646-3243",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellmind",
            "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 Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.