Dr Wellspring Az

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DR WELLSPRING AZ

Practice address

20 E University Dr
Suite 301
Tempe, AZ 85281-5617

Phone

(480) 303-0844

Fax

(480) 303-0848

NPI assigned

Jan 13, 2015

Organization subpart

Yes

Parent organization

RIVERMEND HEALTH, LLCAs reported in NPPES

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

Authorized official

Name

Jean Ann Dockery

Title

Director of Patient Accounts

Phone

(561) 868-1607

Specialties & licenses 5

Addresses

Locations

Practitioners 2

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

• Dena Cabrera, PSYD

  • Counseling Psychologist
  • Anthem, AZ
  • NPI 1598011454
  NPD (past)
• Amie Michelle Celender, LMFT

  • Marriage & Family Therapist
  • Tempe, AZ
  • NPI 1780860999
  NPD (past)

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1982093985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E UNIVERSITY DR",
            "address_2": "SUITE 301",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815617",
            "telephone_number": "480-303-0844",
            "fax_number": "480-303-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E UNIVERSITY DR",
            "address_2": "SUITE 301",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815617",
            "telephone_number": "480-303-0844",
            "fax_number": "480-303-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WELLSPRING AZ",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERMEND HEALTH, LLC",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "DOCKERY",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "561-868-1607"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.