Petra Wellness, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PETRA WELLNESS, INC

Practice address

22839 Dolorosa St
Woodland Hills, CA 91367-4320

Phone

(918) 964-3632

NPI assigned

Apr 2, 2024

Organization subpart

No

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

Authorized official

Name

Cody Neeley

Title

Ceo

Phone

(561) 531-0334

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1508618612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N FLORIDA MANGO RD STE 301",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096449",
            "telephone_number": "561-531-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22839 DOLOROSA ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674320",
            "telephone_number": "918-964-3632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22841 1/2 Dolorosa St",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913674320",
            "country_code": "US",
            "telephone_number": "918-964-3632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22841 Dolorosa St",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913674320",
            "country_code": "US",
            "telephone_number": "918-964-3632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PETRA WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "NEELEY",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-531-0334"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Marie Perry, MS CCC-SLP
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• Briana D Peterson
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• Nicole L Petsche
• Devin Pettengill
• Leslie Michelle Pettis
• Henry D Pham, MD
• Nicky Pham

• Substance Abuse Rehabilitation Facility in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.