NPIMap

Organization Active NPI

Wellnite Medical Group PA

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1891412805
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WELLNITE MEDICAL GROUP PA
Practice address
709 N 2ND St Ste 400
Philadelphia, PA 19123-3108
Phone
(650) 761-9770
NPI assigned
Oct 21, 2022
Last updated
Feb 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Amy Halanski
Title
President
Phone
(877) 644-6008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

709 N 2ND St Ste 400
Philadelphia, PA 19123-3108

Mailing address

2261 Market St # 4058
San Francisco, CA 94114-1612
Phone (341) 888-7637

Other practice location 1

5831 Forward Ave
Pittsburgh, PA 15217-2301
Phone (341) 888-7637

Other practice location 2

1993 Hummel Ave Ste 202
Camp Hill, PA 17011-5937
Phone (877) 644-6008

National Provider Directory

National Provider Directory
Tax ID family
Wellnite Medical Group PA47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

Locations

1993 Hummel Ave
Ste 202
Camp Hill, PA 17011

5831 Forward Ave
Pittsburgh, PA 15217
Phone (412) 326-9059

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1891412805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 MARKET ST # 4058",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141612",
            "telephone_number": "341-888-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N 2ND ST STE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233108",
            "telephone_number": "650-761-9770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5831 Forward Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152172301",
            "country_code": "US",
            "telephone_number": "341-888-7637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1993 Hummel Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170115937",
            "country_code": "US",
            "telephone_number": "877-644-6008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNITE MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "HALANSKI",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-644-6008"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.