Active NPI
Wellspring Health of Ca
- Adolescent and Children Mental Health Clinic/Center
- La Jolla, CA
National Provider Identifier
1710379235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- 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 HEALTH
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Ca
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Health Clinic/Center
- Melbourne, FL
- NPI 1629460142
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.