Active NPI
Wellness Psychiatry High Impact Therapy
- Adult Mental Health Clinic/Center
- Long Beach, CA
National Provider Identifier
1881064715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- A74338
- Legal business name
- WELLNESS PSYCHIATRY HIGH IMPACT THERAPY
- Practice address
- 3505 Long Beach Blvd
Suite 2D
Long Beach, CA 90807-3907 - Phone
- (562) 427-3897
- Fax
- (562) 595-7703
- NPI assigned
- Oct 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aleksandra Wirga, MD
- Title
- Ceo
- Phone
- (562) 427-3897
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | A74338 | CA | Primary |
Addresses
Primary practice location
3505 Long Beach Blvd
Suite 2D
Long Beach, CA 90807-3907
Mailing address
3505 Long Beach Blvd
Suite 2D
Long Beach, CA 90807-3907
Phone (562) 427-3897
National Provider Directory
National Provider DirectoryLocations
3505 Long Beach Blvd
Ste 2D
Long Beach, CA 90807
Phone (562) 424-5505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444003200000",
"number": "1881064715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 LONG BEACH BLVD",
"address_2": "SUITE 2D",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073907",
"telephone_number": "562-427-3897",
"fax_number": "562-595-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 LONG BEACH BLVD",
"address_2": "SUITE 2D",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073907",
"telephone_number": "562-427-3897",
"fax_number": "562-595-7703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS PSYCHIATRY HIGH IMPACT THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-05",
"last_updated": "2015-10-05",
"status": "A",
"authorized_official_last_name": "WIRGA",
"authorized_official_first_name": "ALEKSANDRA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "562-427-3897",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "CA",
"license": "A74338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.