Senior Wellness Dynamics, Inc.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

SENIOR WELLNESS DYNAMICS, INC.

Practice address

183 Orange Park
Redlands, CA 92374-5543

Phone

(310) 444-3132

NPI assigned

Oct 6, 2015

Organization subpart

No

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

Authorized official

Name

Antonio Rios

Title

Member

Phone

(310) 444-3132

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Michael Bulkin, D.P.M.

  • Foot Surgery Podiatrist
  • Burlingame, CA
  • NPI 1316053127
  NPD (past)
• Genine Ivy Hanin, ED.D.

  • Psychologist
  • Westlake Village, CA
  • NPI 1013049105
  NPD (past)
• David Stuart Ullman, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Woodland Hills, CA
  • NPI 1114055654
  NPD (past)

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1629448394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9961",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923753161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 ORANGE PARK",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923745543",
            "telephone_number": "310-444-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR WELLNESS DYNAMICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "310-444-3132"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Charles Seibert, LCSW
• Jennifer Selegue
• Ereni Ariel Sellas, DDS
• Semper Fi Senior Care Inc
• Martha Valenzuela Senar, DDS
• Senior Wellness Dynamics, LLC
• Bradley Senti, OTR/L
• Susan Sequeira
• Serene Congregate Living, LLC
• Serenity Psychiatry Advanced Nursing Inc

• Cognitive & Behavioral Psychologist in Redlands, CA
• Providers in Redlands, CA by specialty
• Cognitive & Behavioral Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.