NPIMap

Organization Active NPI

Complete Wellness, Inc.

  • Psychologist
  • Baltimore, MD
National Provider Identifier
1811505076
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
COMPLETE WELLNESS, INC.
Practice address
10 W Madison St Ste 11
Baltimore, MD 21201-2313
Phone
(443) 438-7863
Fax
(443) 957-9485
NPI assigned
Jul 14, 2020
Last updated
Jul 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COMPLETE WELLNESS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
William Durwood Whitten, PHDNPI 1801168869
Title
President
Phone
(443) 438-7863

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
Psychologist 103T00000X Primary

Addresses

Primary practice location

10 W Madison St Ste 11
Baltimore, MD 21201-2313

Mailing address

10 W Madison St Ste 11
Baltimore, MD 21201-2313
Phone (443) 438-7863

Other identifiers 1

IdentifierTypeStateIssuer
693205300MedicaidMD

Other names 1

  • Complete Wellness Assessment Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Complete Wellness Inc3 organizations share this tax ID, including this one
Part of
Complete Wellness Inc

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1811505076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MADISON ST STE 11",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012313",
            "telephone_number": "443-438-7863",
            "fax_number": "443-957-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W MADISON ST STE 11",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012313",
            "telephone_number": "443-438-7863",
            "fax_number": "443-957-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE WELLNESS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPLETE WELLNESS, INC",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "WHITTEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DURWOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-438-7863",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693205300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Wellness Assessment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.