NPIMap

Organization Active NPI

Wellnite Medical Group PA

  • Psychiatry Physician
  • Kansas City, MO
National Provider Identifier
1568180669
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WELLNITE MEDICAL GROUP PA
Practice address
4049 Pennsylvania Ave Ste 203
Kansas City, MO 64111-3022
Phone
(877) 644-6008
NPI assigned
Aug 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Amy Halanski
Title
MD
Phone
(877) 644-6008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

4049 Pennsylvania Ave Ste 203
Kansas City, MO 64111-3022

Mailing address

2261 Market St # 4058
San Francisco, CA 94114-1612
Phone (341) 888-7637

Other practice location 1

770 Market St # 90
Farmington, MO 63640-1951
Phone (341) 888-7637

National Provider Directory

National Provider Directory
Tax ID family
Wellnite Medical Group PA47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

Locations

770 Market St
#90
Farmington, MO 63640

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1568180669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 MARKET ST # 4058",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141612",
            "telephone_number": "341-888-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4049 PENNSYLVANIA AVE STE 203",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113022",
            "telephone_number": "877-644-6008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Market St # 90",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401951",
            "country_code": "US",
            "telephone_number": "341-888-7637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNITE MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "HALANSKI",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "877-644-6008"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.