Organization Active NPI

Emotional Wellness Management, Inc

  • Psychiatry Physician
  • Beverly Hills, CA
National Provider Identifier
1871809822
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A93922 Issued in CA
Legal business name
EMOTIONAL WELLNESS MANAGEMENT, INC
Practice address
468 N Camden Dr Ste 353
Beverly Hills, CA 90210-4507
Phone
(310) 601-3074
NPI assigned
Aug 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Dr. Seniora Matthews, M.D.
Title
Ceo/Medical Director
Phone
(310) 601-3074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A93922 CA Primary

Addresses

Primary practice location

468 N Camden Dr Ste 353
Beverly Hills, CA 90210-4507

Mailing address

468 N Camden Dr Ste 353
Beverly Hills, CA 90210-4507
Phone (301) 601-3074

Other names 1

  • facticious business name Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1871809822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 N CAMDEN DR STE 353",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104507",
            "telephone_number": "301-601-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 N CAMDEN DR STE 353",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104507",
            "telephone_number": "310-601-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMOTIONAL WELLNESS MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "SENIORA",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-601-3074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A93922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "facticious business name",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.