Organization Active NPI

Alliance Behavioral Health & Wellness Services

  • Psychiatry Physician
  • Encino, CA
National Provider Identifier
1831807692
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ALLIANCE BEHAVIORAL HEALTH & WELLNESS SERVICES
Practice address
16260 Ventura Blvd Ste 630
Encino, CA 91436-2255
Phone
(747) 998-0387
NPI assigned
Nov 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Timothy Welke
Title
Coo
Phone
(747) 998-0382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

16260 Ventura Blvd Ste 630
Encino, CA 91436-2255

Mailing address

16260 Ventura Blvd Ste 630
Encino, CA 91436-2255
Phone (747) 998-0387

National Provider Directory

National Provider Directory

Locations

16260 Ventura Blvd
Ste 630
Encino, CA 91436
Phone (747) 264-9201

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1831807692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD STE 630",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362255",
            "telephone_number": "747-998-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD STE 630",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362255",
            "telephone_number": "747-998-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE BEHAVIORAL HEALTH & WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "WELKE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "747-998-0382"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.