Organization Active NPI

Wellhealth Group, LLC

Doing business as WellHealth Group

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1679828222
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1999137880 Issued in MO
Legal business name
WELLHEALTH GROUP, LLC
Doing business as
WellHealth Group
Practice address
916 Olive St
Suite 0304
Saint Louis, MO 63101-1459
Phone
(314) 925-7525
Fax
(314) 925-7525
NPI assigned
Jul 19, 2012
Last updated
Jul 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Dr. Loon-Tzian Lo, MDNPI 1033313937
Title
Director
Phone
(314) 925-7525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 1999137880 MO Primary

Addresses

Primary practice location

916 Olive St
Suite 0304
Saint Louis, MO 63101-1459

Mailing address

6614 Clayton Rd
Suite 133
Saint Louis, MO 63117-1602
Phone (314) 925-7525

Other names 1

  • WellHealth Group Doing business as

National Provider Directory

National Provider Directory

Locations

916 Olive St
Ste 304
Saint Louis, MO 63101
Phone (314) 925-7525

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1679828222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 CLAYTON RD",
            "address_2": "SUITE 133",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171602",
            "telephone_number": "314-925-7525",
            "fax_number": "314-925-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 OLIVE ST",
            "address_2": "SUITE 0304",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631011459",
            "telephone_number": "314-925-7525",
            "fax_number": "314-925-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLHEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "LOON-TZIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-925-7525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "1999137880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellHealth Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.