Active NPI
Neurostimulation Wellness Center, PLLC
- Psychiatry Physician
- Tacoma, WA
National Provider Identifier
1770053704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessy Ang, MD
- Title
- Member
- Phone
- (253) 627-6606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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 DirectoryLocations
2411 S 19th St
Tacoma, WA 98405
Phone (253) 302-5189
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.