Wellspring Therapy Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

07028 Issued in MD

Legal business name

WELLSPRING THERAPY SERVICES

Practice address

2805 Klein CT
Crofton, MD 21114-3118

Phone

(240) 620-3028

NPI assigned

Jan 14, 2015

Last updated

Jan 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thembi DepassNPI 1457432395

Title

President

Phone

(240) 620-3028

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Tax ID family

Wellspring Therapy Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Wellspring Therapy

  • Speech-Language Pathologist
  • Beltsville, MD
  • NPI 1811386782
  NPD tax ID
• Wellspring Therapy Services

  • Speech-Language Pathologist
  • College Park, MD
  • NPI 1578952560
  NPD tax ID

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.

• Thembi Depass, SLP

  • Speech-Language Pathologist
  • Annapolis, MD
  • NPI 1457432395
  NPD (past) Authorized official

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1467841411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 KLEIN CT",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211143118",
            "telephone_number": "240-620-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 KLEIN CT",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211143118",
            "telephone_number": "240-620-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "DEPASS",
        "authorized_official_first_name": "THEMBI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-620-3028"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pei-Yu Wang
• Betty J Wanjau
• Shiretta Warren
• Chelsea Weber
• Emma Weeding, MD
• Cara L West, LCPC
• Nellie Lavern Whitaker, MD
• Cierra White, BEHAVIOR TECHNICIAN
• Anne Page Whitson, MSOTR/L
• Christopher Whitworth

• Speech-Language Pathologist in Crofton, MD
• Providers in Crofton, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.