Organization Active NPI

Manresa Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Aptos, CA
National Provider Identifier
1972218535
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MANRESA WELLNESS
Practice address
9515 Soquel Dr Ste 207
Aptos, CA 95003-4137
Phone
(831) 612-6283
Fax
(877) 677-2791
NPI assigned
Jan 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Alma C RitsemaNPI 1205995743
Title
Psychiatric Nurse Practitioner
Phone
(831) 612-6283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

9515 Soquel Dr Ste 207
Aptos, CA 95003-4137

Mailing address

9515 Soquel Dr Ste 207
Aptos, CA 95003-4137
Phone (831) 612-6283

National Provider Directory

National Provider Directory

Locations

9515 Soquel Dr
Ste 207
Aptos, CA 95003
Phone (831) 612-6283

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1972218535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 SOQUEL DR STE 207",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034137",
            "telephone_number": "831-612-6283",
            "fax_number": "877-677-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 SOQUEL DR STE 207",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034137",
            "telephone_number": "831-612-6283",
            "fax_number": "877-677-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANRESA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "RITSEMA",
        "authorized_official_first_name": "ALMA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "831-612-6283"
    },
    "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": []
}

Other providers in Aptos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.