Active NPI
Waves of Wellness
- Psychiatry Physician
- Stuart, FL
National Provider Identifier
1790248466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- WAVES OF WELLNESS
- Practice address
- 10 SE Central Pkwy Ste 225
Stuart, FL 34994-5920 - Phone
- (570) 242-1768
- NPI assigned
- Apr 10, 2019
- 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
- Anthony Camaerei, MBA
- Title
- Director of Licensing
- Phone
- (570) 242-1768
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Geriatric Psychiatry Physician | 2084P0805X |
Addresses
Primary practice location
10 SE Central Pkwy Ste 225
Stuart, FL 34994-5920
Mailing address
10 SE Central Pkwy Ste 225
Stuart, FL 34994-5920
National Provider Directory
National Provider DirectoryLocations
10 SE Central Pkwy
Ste 225
Stuart, FL 34994
Phone (570) 242-1768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554854400000",
"number": "1790248466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SE CENTRAL PKWY STE 225",
"city": "STUART",
"state": "FL",
"postal_code": "349945920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SE CENTRAL PKWY STE 225",
"city": "STUART",
"state": "FL",
"postal_code": "349945920",
"telephone_number": "570-242-1768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAVES OF WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-10",
"last_updated": "2019-04-10",
"status": "A",
"authorized_official_last_name": "CAMAEREI",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "DIRECTOR OF LICENSING",
"authorized_official_telephone_number": "570-242-1768",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.