Wyndgate Health PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WYNDGATE HEALTH PLLC

Practice address

1131 Jackson Ave
Detroit Lakes, MN 56501-3618

Phone

(320) 220-0546

NPI assigned

Jul 22, 2015

Organization subpart

No

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

Authorized official

Name

Delores Alleckson

Title

Owner

Phone

(320) 220-0546

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1538544317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 JACKSON AVE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 JACKSON AVE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013618",
            "telephone_number": "320-220-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNDGATE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "ALLECKSON",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-220-0546"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Wolhowe
• Caitlyn Ann Wolter, OTR/L
• Terry Jo Wood, LADC
• Jennifer Workman
• Katherine Marie Wurtz, ATC, ATR, LAT
• Shang-Yee S Yeh, MD
• Rylee Ann Zetocha, APRN, FNP-BC
• Carolyn M Zunich, D.D.S.

• Psychiatry Physician in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.