Wellness Therapy of San Diego

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

27330 Issued in CA

Legal business name

WELLNESS THERAPY OF SAN DIEGO

Doing business as

Wellness Therapy of San Diego

Practice address

9666 Businesspark Ave Ste 207
San Diego, CA 92131-1646

Phone

(619) 600-0073

Fax

(619) 600-0651

NPI assigned

Aug 14, 2018

Last updated

Aug 14, 2018By 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

Dr. Kelly Anderson, PHDNPI 1073996393

Title

Psychologist/Owner

Phone

(619) 600-0073

Specialties & licenses 1

Addresses

Other names 1

• WELLNESS THERAPY OF SAN DIEGO Doing business as

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.

• Kelly Anderson, PH.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1073996393
  NPD Authorized official

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1497235006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9666 BUSINESSPARK AVE STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311646",
            "telephone_number": "619-600-0073",
            "fax_number": "619-600-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9666 BUSINESSPARK AVE STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311646",
            "telephone_number": "619-600-0073",
            "fax_number": "619-600-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS THERAPY OF SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "619-600-0073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLNESS THERAPY OF SAN DIEGO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Weldon W Wellington
• Vinit G. Wellis, M.D.
• Thailyn Wellman, NONE
• Wellness Academy, LLC (Wellness Academy USA)
• Wellness of SD LLC
• Wellness Way
• Wellnesspt Physical Therapy, P.C. (WellnessPT Fitness)
• Adam Brent Wells, DMD
• Alexa Wells
• Ashley Wells

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.