Organization Active NPI

Neurostimulation Wellness Center, PLLC

  • Psychiatry Physician
  • Tacoma, WA
National Provider Identifier
1770053704
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NEUROSTIMULATION WELLNESS CENTER, PLLC
Practice address
2411 S 19TH St
Tacoma, WA 98405-2954
Phone
(253) 627-6606
NPI assigned
Dec 3, 2018
Last updated
Dec 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Authorized official

Name
Jessy Ang, MDNPI 1255544359
Title
Member
Phone
(253) 627-6606

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 PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2411 S 19TH St
Tacoma, WA 98405-2954

Mailing address

2411 S 19TH St
Tacoma, WA 98405-2954
Phone (253) 627-6606

National Provider Directory

National Provider Directory

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": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1770053704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052954",
            "telephone_number": "253-627-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052954",
            "telephone_number": "253-627-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSTIMULATION WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "ANG",
        "authorized_official_first_name": "JESSY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "253-627-6606",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.