NPIMap

Organization Active NPI

Wellpsyche Medical Group PC

  • Child & Adolescent Psychiatry Physician
  • Henderson, NV
National Provider Identifier
1861055956
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
WELLPSYCHE MEDICAL GROUP PC
Practice address
871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977
Phone
(949) 400-2488
NPI assigned
Apr 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Dr. Adel Mostafavi
Title
Ceo
Phone
(949) 400-2488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977

Mailing address

1055 Wilshire Blvd Ste 1705
Los Angeles, CA 90017-5600
Phone (310) 871-0670

National Provider Directory

National Provider Directory
Tax ID family
Adel Mostafavi MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1861055956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 WILSHIRE BLVD STE 1705",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175600",
            "telephone_number": "310-871-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 CORONADO CENTER DR STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523977",
            "telephone_number": "949-400-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPSYCHE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "MOSTAFAVI",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-400-2488",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

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