New Direction Wellness Center Functional Psychiatry LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NEW DIRECTION WELLNESS CENTER FUNCTIONAL PSYCHIATRY LLC

Practice address

1661 Old Philadelphia Pike Unit C
Lancaster, PA 17602-2676

Phone

(814) 810-8626

NPI assigned

Apr 5, 2023

Last updated

Apr 5, 2023By 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

Sarah Nduta Mbogo Gatumu, MDNPI 1750489845

Title

Owner

Phone

(724) 599-5901

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah N Gatumu, MD

  • Psychiatry Physician
  • Houston, TX
  • NPI 1750489845

  PA

  Medicare reassignment NPD Authorized official
• Richard Barry McCune

  • Psychoanalyst
  • Lancaster, PA
  • NPI 1902675333
  NPD

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1619672821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 OLD PHILADELPHIA PIKE UNIT C",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022676",
            "telephone_number": "814-810-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 OLD PHILADELPHIA PIKE UNIT C",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022676",
            "telephone_number": "814-810-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTION WELLNESS CENTER FUNCTIONAL PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "GATUMU",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "NDUTA MBOGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-599-5901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David L Newcomer, MD

• Psychiatry Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.