Organization Active NPI

DCB Wellness Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Longview, WA
National Provider Identifier
1477318566
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DCB WELLNESS HEALTH SERVICES PLLC
Practice address
253 25TH Ave
Longview, WA 98632-1215
Phone
(678) 760-6321
NPI assigned
Feb 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Dorothy Chadika Burrell, APRNNPI 1558834986
Title
Nurse Practitioner
Phone
(678) 760-6321

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

253 25TH Ave
Longview, WA 98632-1215

Mailing address

253 25TH Ave
Longview, WA 98632-1215
Phone (678) 760-6321

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1477318566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 25TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986321215",
            "telephone_number": "678-760-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 25TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986321215",
            "telephone_number": "678-760-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCB WELLNESS HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "CHADIKA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "678-760-6321",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.