NPIMap

Organization Active NPI

Compassionate Wellness Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hagerstown, MD
National Provider Identifier
1801456546
Registry record updated Jun 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COMPASSIONATE WELLNESS CENTER, LLC
Doing business as
Compassionate Wellness Center, LLC
Practice address
44 N Potomac St Ste 101&102
Hagerstown, MD 21740-4855
Phone
(240) 513-6001
Fax
(240) 513-6122
NPI assigned
Jun 15, 2019
Organization subpart
Yes
Parent organization
COMPASSIONATE WELLNESS CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2019

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

Authorized official

Name
Ivan Ngang Zama, MDNPI 1912177288
Title
Ceo
Phone
(216) 502-4311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

44 N Potomac St Ste 101&102
Hagerstown, MD 21740-4855

Mailing address

10319 Westlake Dr Ste 335
Bethesda, MD 20817-6403
Phone (216) 502-4311

Other names 1

  • Compassionate Wellness Center, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Compassionate Wellness Center LLC7 organizations share this tax ID, including this one
Part of
Compassionate Wellness Center LLC

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1560556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560556800000",
    "number": "1801456546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10319 WESTLAKE DR STE 335",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208176403",
            "telephone_number": "216-502-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 N POTOMAC ST STE 101&102",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404855",
            "telephone_number": "240-513-6001",
            "fax_number": "240-513-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE WELLNESS CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPASSIONATE WELLNESS CENTER, LLC",
        "enumeration_date": "2019-06-15",
        "last_updated": "2019-06-15",
        "status": "A",
        "authorized_official_last_name": "ZAMA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "NGANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-502-4311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.