Wellsprings, a Health Services Professional Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

SI-01282 Issued in NJ

Legal business name

WELLSPRINGS, A HEALTH SERVICES PROFESSIONAL CORPORATION

Doing business as

Wellsprings, P.C.

Practice address

508 Lippincott Dr
Marlton, NJ 08053-4802

Phone

(856) 596-1652

Fax

(856) 596-7797

NPI assigned

Mar 19, 2007

Last updated

May 15, 2008By 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. Lewis Sigmund Alban, PH.D.

Title

President

Phone

(856) 596-1652

Specialties & licenses 1

Addresses

Other names 1

• Wellsprings, P.C. Doing business as

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1558485359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534802",
            "telephone_number": "856-596-1652",
            "fax_number": "856-596-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534802",
            "telephone_number": "856-596-1652",
            "fax_number": "856-596-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRINGS, A HEALTH SERVICES PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "ALBAN",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "SIGMUND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-596-1652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI-01282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellsprings, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.