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
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, MD
Title
Member
Phone
(253) 627-6606

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

Locations

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.

Verify at the official NPI Registry.