Essential Psychiatry, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ESSENTIAL PSYCHIATRY, PLLC

Practice address

731 N Stanley St
Medical Lake, WA 99022-8940

Phone

(509) 299-6900

Fax

(509) 351-2818

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Candie M. Wellwood, ARNPNPI 1386254290

Title

Owner/Practitioner

Phone

(509) 299-6900

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Candie M. Wellwood, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Medical Lake, WA
  • NPI 1386254290
  NPD Authorized official

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1922771682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 N STANLEY ST",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990228940",
            "telephone_number": "509-299-6900",
            "fax_number": "509-351-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N STANLEY ST",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990228940",
            "telephone_number": "509-299-6900",
            "fax_number": "509-351-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "WELLWOOD",
        "authorized_official_first_name": "CANDIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "509-299-6900",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lynn Dykstra, ARNP
• Eastern State Hospital Pharmacy
• Educational Support Services (Medical Lake School District)
• David W. Elkins Jr., PHD
• Aubry Elizabeth Espinosa, RCIS
• Robert Cory Fanto, PHD
• Marion Arthur Fossum, MD
• W Timm Fredrickson, PHD
• Vance Frenzel, PHARMD
• Angela M Gerry, LMT

• Psychiatric/Mental Health Nurse Practitioner in Medical Lake, WA
• Providers in Medical Lake, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.