Organization Active NPI

Wellspring Health of Ca

  • Adolescent and Children Mental Health Clinic/Center
  • La Jolla, CA
National Provider Identifier
1710379235
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
WELLSPRING HEALTH OF CA
Practice address
Warren Conference Service Ctr
9450 Gilman Drive
La Jolla, CA 92092-0100
Phone
(619) 948-3942
NPI assigned
Feb 20, 2015
Organization subpart
Yes
Parent organization
RIVERMEND HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Debra Townsend
Title
VP of RCM
Phone
(470) 440-1647

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

Warren Conference Service Ctr
9450 Gilman Drive
La Jolla, CA 92092-0100

Mailing address

2300 Windy Ridge Pkwy SE
#210S
Atlanta, GA 30339-5665
Phone (678) 813-0505

National Provider Directory

National Provider Directory
Tax ID family
Wellspring Health of Ca2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9450 Gilman Dr
La Jolla, CA 92092
Phone (408) 821-7227

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710379235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WINDY RIDGE PKWY SE",
            "address_2": "#210S",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395665",
            "telephone_number": "678-813-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WARREN CONFERENCE SERVICE CTR",
            "address_2": "9450 GILMAN DRIVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920920100",
            "telephone_number": "619-948-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING HEALTH OF CA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERMEND HEALTH",
        "enumeration_date": "2015-02-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "VP OF RCM",
        "authorized_official_telephone_number": "470-440-1647"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.