Welllife Network Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WELLLIFE NETWORK INC.

Practice address

800 Northern Blvd
Great Neck, NY 11021-5314

Phone

(516) 829-9666

Fax

(516) 482-0692

NPI assigned

Jun 30, 2010

Organization subpart

No

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

Authorized official

Name

Sherry Tucker

Title

Ceo

Phone

(718) 559-0534

Specialties & licenses 1

Addresses

Other names 1

• PSCH INC. Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Welllife Network Inc

  • Case Management Agency
  • Elmont, NY
  • NPI 1508012816

  O20040311000454

  Same enrollment
• Welllife Network Inc.

  • Case Management Agency
  • Coram, NY
  • NPI 1386817906

  O20040311000454

  Same enrollment
• Welllife Network Inc.,

  • Clinic/Center
  • Huntington, NY
  • NPI 1932125721

  O20040311000454

  Same enrollment

Tax ID family

Promoting Specialized Care Health25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

• PSCH, Inc

  • Clinic/Center
  • South Richmond Hill, NY
  • NPI 1841354131
  NPD tax ID
• PSCH, Inc.

  • Community/Behavioral Health Agency
  • Astoria, NY
  • NPI 1124351853
  NPD tax ID
• PSCH, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Brooklyn, NY
  • NPI 1417011776
  NPD tax ID
• PSCH, Inc.

  • Community/Behavioral Health Agency
  • College Point, NY
  • NPI 1609029909
  NPD tax ID
• PSCH. Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Richmond Hill, NY
  • NPI 1265596829
  NPD tax ID
• PSCH. Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Brooklyn, NY
  • NPI 1316001837
  NPD tax ID
• PSCH. Inc

  • Clinic/Center
  • Astoria, NY
  • NPI 1417011974
  NPD tax ID
• PSCH. Inc

  • Case Management Agency
  • Jamaica, NY
  • NPI 1437313822
  NPD tax ID
• PSCH. Inc

  • Clinic/Center
  • Flushing, NY
  • NPI 1487718771
  NPD tax ID
• PSCH. Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Flushing, NY
  • NPI 1548324171
  NPD tax ID
• PSCH. Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Springfield Gardens, NY
  • NPI 1578627170
  NPD tax ID
• PSCH. Inc

  • Mental Illness Intermediate Care Facility
  • Brooklyn, NY
  • NPI 1659505824
  NPD tax ID

Locations

Practitioners 6

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

• Georges Jean Casimir, M.D

  • Psychiatry Physician
  • Rockville Centre, NY
  • NPI 1295949741
  NPD
• Stacy Anne Crilly, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntington, NY
  • NPI 1104848027
  NPD
• Chelsea Delucia, LCSW

  • Clinical Social Worker
  • Wyandanch, NY
  • NPI 1871959569
  NPD
• Martha Morgan, LCSW-R

  • Clinical Social Worker
  • Flushing, NY
  • NPI 1699181347
  NPD
• Keitha Stevens, MA SLP/TSSLD

  • Speech-Language Pathologist
  • Goshen, NY
  • NPI 1164665196
  NPD
• Lee Edward Stryker, MSPT

  • Physical Therapist
  • Whitehouse Station, NJ
  • NPI 1811100670
  NPD

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1477864866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 MARCUS AVE STE 100",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422025",
            "telephone_number": "718-559-0516",
            "fax_number": "718-762-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215314",
            "telephone_number": "516-829-9666",
            "fax_number": "516-482-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLLIFE NETWORK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-559-0534"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSCH INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Erin Weiss
• Madison Eve Weiss, MD
• Rita Weiss, M.D.,PH.D.
• Carol Ann Weissman, PHD
• Steve Eric Weissman, PH.D.
• Josh Werber, M.D.
• David Lewis Wertheim, MD
• Wesson Dermatology, PC
• Karen M Wesson, M.D.
• Brianna Nicole Westfall, OTR/L

• Clinic/Center in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.