Pediatric Wellness Center PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC WELLNESS CENTER PA

Practice address

9560 Pennsylvania Ave Ste 106
Upper Marlboro, MD 20772-3768

Phone

(301) 324-0100

NPI assigned

Aug 14, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia Stevens-Morrison, MDNPI 1962448076

Title

President

Phone

(301) 324-0100

Specialties & licenses 1

Addresses

Other names 1

• none Former legal business name

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9105/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Y Stevens-Morrison, MD

  • Pediatrics Physician
  • Upper Marlboro, MD
  • NPI 1962448076
  NPD Authorized official

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1922881127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9560 PENNSYLVANIA AVE STE 106",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723768",
            "telephone_number": "301-324-0100",
            "fax_number": "240-219-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9560 PENNSYLVANIA AVE STE 106",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723768",
            "telephone_number": "301-324-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC WELLNESS CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "STEVENS-MORRISON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-324-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sharman Patrice Patterson
• Jacqueline Angella Payne-Borden, PHD, APRN-PMH-BC
• Kyla Payne
• Peace of Mind Therapy, LLC
• Irene Pechase
• Fatimah Peleowo
• Jill A Pellicoro, MD
• Monica Peravali
• Delbert Lee Perkins, MD
• Doris Lynn Perkins, RPH

• Pediatrics Physician in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.