Stewart Psychological Wellness Group, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

STEWART PSYCHOLOGICAL WELLNESS GROUP, INC

Practice address

3201 Wilshire Blvd Ste 320
Santa Monica, CA 90403-2335

Phone

(310) 570-5342

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Authorized official

Name

Karen Stewart, PSY.D.NPI 1952542136

Title

Owner

Phone

(310) 570-5342

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen M Stewart, PSY. D

  • Clinical Psychologist
  • Santa Monica, CA
  • NPI 1952542136
  Medicare reassignment NPD Authorized official
• David Paul Plotkin, PHD

  • Clinical Psychologist
  • Encino, CA
  • NPI 1477572725
  NPD (past)

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1750004461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 WILSHIRE BLVD STE 320",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032335",
            "telephone_number": "310-570-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 WILSHIRE BLVD STE 320",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032335",
            "telephone_number": "310-570-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART PSYCHOLOGICAL WELLNESS GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-570-5342",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven M Kastenbaum OD PHD Professional Optometric Corporation
• Steven Vasilev, M.D., P.C.
• Denise Lee Stevens, L.AC.
• Steward of Mental Wealth, P.C.
• Steward of Mental Wealth, P.C.
• Andrew Michael Stewart, PH.D.
• Daniel Stewart
• Daniel Stewart, MA,L MFT
• Edith Virginia Stewart, PH.D.
• John Michael Stewart, MD PHD

• Clinical Psychologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.