Wellvity Health Group Ipa, a Psychology Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

WELLVITY HEALTH GROUP IPA, A PSYCHOLOGY CORPORATION

Practice address

622 E Santa Paula St
Santa Paula, CA 93060-2062

Phone

(085) 873-3324

NPI assigned

Jul 27, 2023

Organization subpart

No

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

Authorized official

Name

Karen Stuart Kelly, MS, LMFT

Title

Officer

Phone

(805) 873-3324

Specialties & licenses 1

Addresses

Other names 1

• WELLVITY HEALTH GROUP Other name

Practitioners 1

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.

• Karen Stuart Stuart Kelly, MS, LMFT

  • Marriage & Family Therapist
  • Ventura, CA
  • NPI 1598815219
  NPD

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1659052132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 E SANTA PAULA ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602062",
            "telephone_number": "085-873-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 E SANTA PAULA ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602062",
            "telephone_number": "085-873-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLVITY HEALTH GROUP IPA, A PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "805-873-3324",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLVITY HEALTH GROUP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Breanna Villanueva
• Vista Cove Care Center at Santa Paula, Inc.
• Du Thanh Vo
• Mathew Wagner, MA PPS
• Dejah Wallot
• Marian Chavez West, LCSW
• Westside Family Practice
• Whidbey Island Public Hospital District
• Robert Anthony White, D.C., D.A.B.C.O.
• Patricia Ann Whitehead

• Psychologist in Santa Paula, CA
• Providers in Santa Paula, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.