Organization Active NPI

Flourishing Wellness LLC

  • Psychiatry Physician
  • West Chester, OH
National Provider Identifier
1780274381
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FLOURISHING WELLNESS LLC
Practice address
8080 Beckett Center Dr Ste 324
West Chester, OH 45069-5042
Phone
(513) 428-1977
NPI assigned
Jan 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Authorized official

Name
Princess Gaitawe-Johnson, MD
Title
Owner
Phone
(513) 428-1977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

8080 Beckett Center Dr Ste 324
West Chester, OH 45069-5042

Mailing address

8080 Beckett Center Dr Ste 324
West Chester, OH 45069-5042
Phone (513) 428-1977

National Provider Directory

National Provider Directory

Locations

8080 Beckett Center Dr
Ste 324
West Chester, OH 45069
Phone (513) 428-1977

8080 Beckett Center Dr
Ste 234
West Chester, OH 45069

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1780274381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 BECKETT CENTER DR STE 324",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450695042",
            "telephone_number": "513-428-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 BECKETT CENTER DR STE 324",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450695042",
            "telephone_number": "513-428-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISHING WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "GAITAWE-JOHNSON",
        "authorized_official_first_name": "PRINCESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-428-1977",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.