Wisdom Wellness Psychotherapy Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WISDOM WELLNESS PSYCHOTHERAPY INC

Practice address

340 S. Lemon Ave #4028
Walnut, CA 91789

Phone

(916) 546-5228

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Chassity Angeny-Showalter, PSYDNPI 1063610004

Title

Owner/Ceo

Phone

(916) 546-5228

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: drchassity@wisdomwellnesstherapy.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chassity Angeny-Showalter, PSY.D.

  • Psychologist
  • Walnut, CA
  • NPI 1063610004
  NPD Authorized official

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1831715473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 S. LEMON AVE #4028",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "91789",
            "telephone_number": "916-546-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S. LEMON AVE #4028",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "91789",
            "telephone_number": "916-546-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM WELLNESS PSYCHOTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "ANGENY-SHOWALTER",
        "authorized_official_first_name": "CHASSITY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "916-546-5228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrChassity@WisdomWellnessTherapy.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9821 Fair Oaks Blvd Ste B",
            "city": "Fair Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956287050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chen Wen
• Alexander D. Wielaard, MD
• Isabel Elodia Wilhelm, PA-C
• Danielle Denise Williams
• Heather Williams, PMHNP
• Amber Leanne Wong
• Yanyee Wong
• Jessica Woo
• Arthur J W Wu, DDS
• Manli Wu, DC LAC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Walnut, CA
• Providers in Walnut, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.