Wellness Recovery Center

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WELLNESS RECOVERY CENTER

Practice address

2925 Siskiyou Blvd
Medford, OR 97504-8179

Phone

(541) 773-1435

Fax

(541) 858-6828

NPI assigned

Jul 30, 2011

Organization subpart

No

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

Authorized official

Name

Shawn M Sills, M.D.

Title

Medical Director

Phone

(541) 779-1435

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1528346129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 SISKIYOU BLVD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048179",
            "telephone_number": "541-773-1435",
            "fax_number": "541-858-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 SISKIYOU BLVD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048179",
            "telephone_number": "541-773-1435",
            "fax_number": "541-858-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-30",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "SILLS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "541-779-1435",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Well Spring Health LLC
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• Wellness Compounding Pharmacy
• Wellness Psychology, LLC
• Heather Ann Wells, QMHA
• Kristin Wells
• Valerie Wells, RN
• Wellspring Counseling Center of Southern Oregon, LLC
• Tara Wendlandt, FNP

• Specialist in Medford, OR
• Providers in Medford, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.