Prosperity Wellness Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PROSPERITY WELLNESS INC

Practice address

20351 SW Acacia St FL 1
Newport Beach, CA 92660-1527

Phone

(714) 615-5915

NPI assigned

Jan 3, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Joel W EdwardsNPI 1689905234

Title

Ceo

Phone

(714) 615-5915

Specialties & licenses 1

Addresses

Tax ID family

Prosperity Wellness Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prosperity Wellness Inc

  • Substance Abuse Rehabilitation Facility
  • Irvine, CA
  • NPI 1235602160
  NPD tax ID

Locations

Practitioners 1

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

• Joel Wesley Edwards

  • Addiction (Substance Use Disorder) Counselor
  • Fountain Valley, CA
  • NPI 1689905234
  NPD Authorized official

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1780157610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10525 VISTA SORRENTO PKWY STE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212748",
            "telephone_number": "714-615-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20351 SW ACACIA ST FL 1",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601527",
            "telephone_number": "714-615-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-615-5915",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl A. Procaccini
• Judith Ruth Profant, PHD, CBSM
• Professional Partners Inc
• Rosalie Ann Proffer, MA LMFT MARRIAGE FAM
• Prohealth Partners a Medical Group Inc
• Christine Marie Prosser, MFT
• Michael D Protack
• Adrian Prunean, M.D.
• Cristian Prunean, MD
• Rebecca Janae Pruzensky

• Substance Abuse Rehabilitation Facility in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.