W B Wellness, LLC.

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

W B WELLNESS, LLC.

Practice address

6415 Lake Worth Rd Ste 300
Greenacres, FL 33463-2910

Phone

(561) 327-6977

Fax

(888) 463-3113

NPI assigned

Apr 9, 2015

Organization subpart

No

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

Authorized official

Name

Jason Leder

Title

Ceo

Phone

(561) 327-6977

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1487040176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 LAKE WORTH RD STE 300",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632910",
            "telephone_number": "561-327-6977",
            "fax_number": "888-463-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 LAKE WORTH RD STE 300",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632910",
            "telephone_number": "561-327-6977",
            "fax_number": "888-463-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W B WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "LEDER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-327-6977"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.