NPIMap

Organization Active NPI

Wellspring Therapy

  • Speech-Language Pathologist
  • Beltsville, MD
National Provider Identifier
1811386782
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
07028 Issued in MD
Legal business name
WELLSPRING THERAPY
Practice address
11926 Twinlakes Dr
Apt 27
Beltsville, MD 20705-6106
Phone
(502) 609-0654
NPI assigned
Jan 15, 2015
Last updated
Jan 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Thembi DepassNPI 1457432395
Title
President
Phone
(240) 620-3028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 07028 MD Primary

Addresses

Primary practice location

11926 Twinlakes Dr
Apt 27
Beltsville, MD 20705-6106

Mailing address

2805 Klein CT
Crofton, MD 21114-3118
Phone (240) 620-3028

National Provider Directory

National Provider Directory
Tax ID family
Wellspring Therapy Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1811386782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 KLEIN CT",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211143118",
            "telephone_number": "240-620-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11926 TWINLAKES DR",
            "address_2": "APT 27",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207056106",
            "telephone_number": "502-609-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "DEPASS",
        "authorized_official_first_name": "THEMBI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-620-3028"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.