Active NPI
Welllife Network Inc
- Case Management Agency
- Elmont, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- WELLLIFE NETWORK INC
- Practice address
- 40 Elmont Road
Elmont, NY 11003-1603 - Phone
- (347) 542-5667
- Fax
- (347) 542-5840
- NPI assigned
- Aug 18, 2008
- Last updated
- Aug 16, 2024
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NY | Primary |
Addresses
Primary practice location
40 Elmont Road
Elmont, NY 11003-1603
Mailing address
1985 Marcus Ave Ste 100
New Hyde Park, NY 11042-2025
Phone (718) 559-0516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01304109 | Medicaid | NY |
Other names 1
- PSCH INC.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040311000454 | NY | Part B Supplier - Clinic/Group Practice | 0749179570 |
Receives reassigned benefits from 47 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brooklyn, NY; Wyandanch, NY; Smithtown, NY; Setauket, NY; Queens Village, NY; Huntington, NY; Great Neck, NY; Elmont, NY… |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Promoting Specialized Care Health
Other organizations with this tax ID 24
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Promoting Specialized Care & Health
- Clinic/Center
- South Richmond Hill, NY
- NPI 1841354131
-
- Community/Behavioral Health Agency
- Astoria, NY
- NPI 1124351853
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Brooklyn, NY
- NPI 1417011776
-
- Community/Behavioral Health Agency
- College Point, NY
- NPI 1609029909
-
dba Promoting Specialized Care & Health
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Richmond Hill, NY
- NPI 1265596829
-
dba Promoting Specialized Care & Health
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Brooklyn, NY
- NPI 1316001837
-
dba Promoting Specialized Care & Health
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Flushing, NY
- NPI 1548324171
-
dba Promoting Specialized Care & Health
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Springfield Gardens, NY
- NPI 1578627170
-
dba Promoting Specialized Care & Health
- Mental Illness Intermediate Care Facility
- Brooklyn, NY
- NPI 1659505824
Locations
2510 Westchester Ave
Fl 1
Bronx, NY 10461
Phone (718) 542-5805
2510 Westchester Ave
Fl 2
Bronx, NY 10461
Phone (718) 824-2790
1900 Sterling Pl
Brooklyn, NY 11233
Phone (917) 563-3347
35 Bay Ridge Ave
Brooklyn, NY 11220
Phone (718) 439-8974
2244 119th St
College Point, NY 11356
Phone (718) 445-4700
1985 Marcus Ave
Ste 100
New Hyde Park, NY 11042
Phone (855) 201-4988
20903 Jamaica Ave
Queens Village, NY 11428
Phone (718) 297-1718
Practitioners & affiliated clinicians
Practitioners 264
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.
-
- Mental Health Counselor
- Coram, NY
- NPI 1093444101
-
- Psychiatric/Mental Health Nurse Practitioner
- Coram, NY
- NPI 1942646104
-
- Mental Health Counselor
- Malverne, NY
- NPI 1871608984
-
- Clinical Social Worker
- Victor, NY
- NPI 1013287333
-
- Obstetrics & Gynecology Physician
- Far Rockaway, NY
- NPI 1194902569
-
- Mental Health Counselor
- Smithtown, NY
- NPI 1558513481
-
- Physical Therapist
- Long Island City, NY
- NPI 1831258193
-
- Psychiatry Physician
- Huntington, NY
- NPI 1710964051
-
- Psychiatry Physician
- New York, NY
- NPI 1598086753
-
- Psychiatric/Mental Health Nurse Practitioner
- Huntington, NY
- NPI 1104848027
-
- Clinical Social Worker
- Wyandanch, NY
- NPI 1871959569
-
- Psychiatric/Mental Health Nurse Practitioner
- Coram, NY
- NPI 1619329166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723766400000",
"number": "1508012816",
"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": "40 ELMONT ROAD",
"city": "ELMONT",
"state": "NY",
"postal_code": "110031603",
"telephone_number": "347-542-5667",
"fax_number": "347-542-5840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLLIFE NETWORK INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-18",
"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": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01304109",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PSCH INC.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Elmont, NY
Sources for this page
- 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.