NPIMap

Organization Active NPI

Wellness Centers, LLC

  • Psychologist
  • Gillette, WY
National Provider Identifier
1992013619
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
299 Issued in WY
Legal business name
WELLNESS CENTERS, LLC
Practice address
405 W Boxelder Rd Ste A1
Gillette, WY 82718-5320
Phone
(307) 686-7779
Fax
(307) 686-9494
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Kenneth Bell, PH.D.
Title
Owner
Phone
(307) 577-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 299 WY Primary

Addresses

Primary practice location

405 W Boxelder Rd Ste A1
Gillette, WY 82718-5320

Mailing address

940 E 3Rd St Ste 212
Casper, WY 82601-3251
Phone (307) 577-3050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1992013619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST STE 212",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013251",
            "telephone_number": "307-577-3050",
            "fax_number": "307-577-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W BOXELDER RD STE A1",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185320",
            "telephone_number": "307-686-7779",
            "fax_number": "307-686-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-577-3050",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WY",
            "license": "299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.