Organization Active NPI

Headspacewellness Center

  • Multi-Specialty Clinic/Center
  • Ypsilanti, MI
National Provider Identifier
1477384733
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HEADSPACEWELLNESS CENTER
Doing business as
HEADSPACEWELLNESS CENTER
Practice address
8919 Ringneck Dr
Ypsilanti, MI 48197-1059
Phone
(313) 585-8148
NPI assigned
Aug 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Mr. Anthony Opara, NPNPI 1346002409
Title
Nurse Practitioner
Phone
(313) 585-8148

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

8919 Ringneck Dr
Ypsilanti, MI 48197-1059

Mailing address

8919 Ringneck Dr
Ypsilanti, MI 48197-1059
Phone (313) 585-8148

Other names 1

  • HEADSPACEWELLNESS CENTER Doing business as

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": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1477384733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 RINGNECK DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971059",
            "telephone_number": "313-585-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8919 RINGNECK DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971059",
            "telephone_number": "313-585-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADSPACEWELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "OPARA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "313-585-8148",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEADSPACEWELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

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