Organization Active NPI

Rooted Psychiatry and Wellness

  • Psychiatric/Mental Health Registered Nurse
  • Monrovia, CA
National Provider Identifier
1750016390
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
ROOTED PSYCHIATRY AND WELLNESS
Practice address
507 W Foothill Blvd
Monrovia, CA 91016-2021
Phone
(818) 809-0991
Fax
(818) 533-9540
NPI assigned
Jul 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Alysha Woods, PMHNP-BCNPI 1497308415
Title
Ceo
Phone
(818) 809-0991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X
Psychiatric/Mental Health Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WP0808X Primary

Addresses

Primary practice location

507 W Foothill Blvd
Monrovia, CA 91016-2021

Mailing address

161 W Altadena Dr # 1001
Altadena, CA 91001-4735

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alysha@rootedpsychiatry.com

National Provider Directory

National Provider Directory

Locations

161 W Altadena Dr
Altadena, CA 91001

507 W Foothill Blvd
Monrovia, CA 91016
Phone (626) 594-5721

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1750016390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 W ALTADENA DR # 1001",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W FOOTHILL BLVD",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162021",
            "telephone_number": "818-809-0991",
            "fax_number": "818-533-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED PSYCHIATRY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "ALYSHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-809-0991",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alysha@rootedpsychiatry.com",
            "affiliation": "N",
            "address_1": "507 W Foothill Blvd",
            "city": "Monrovia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910162021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.