Wellness Professional Center Inc

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

Legal business name

WELLNESS PROFESSIONAL CENTER INC

Practice address

1100 Sunset Strip
Suite 4
Sunrise, FL 33313-6197

Phone

(954) 446-3538

NPI assigned

Oct 17, 2016

Organization subpart

No

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

Authorized official

Name

Jesica Rusz Paglione De Elias

Title

Owner

Phone

(954) 446-3538

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1659822567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SUNSET STRIP",
            "address_2": "SUITE 4",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333136197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SUNSET STRIP",
            "address_2": "SUITE 4",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333136197",
            "telephone_number": "954-446-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PROFESSIONAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "DE ELIAS",
        "authorized_official_first_name": "JESICA RUSZ",
        "authorized_official_middle_name": "PAGLIONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-446-3538"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Psychologist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Addiction (Substance Use Disorder) Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.