Organization Active NPI

Recovery Wellness Services Inc

  • Primary Care Clinic/Center
  • York, PA
National Provider Identifier
1992246573
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RECOVERY WELLNESS SERVICES INC
Practice address
1 East Market Street
Ste 301
York, PA 17401-1612
Phone
(717) 430-4443
Fax
(717) 430-6524
NPI assigned
Mar 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
James C Ndungu, FNP
Title
Authorized Official
Phone
(717) 430-4443

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Primary Care Clinic/Center 261QP2300X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

1 East Market Street
Ste 301
York, PA 17401-1612

Mailing address

1 East Market Street
Ste 301
York, PA 17401-1612
Phone (717) 430-4443

Other names 1

  • Primary Care of York Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180709000640 PA Part B Supplier - Clinic/Group Practice 3072869981 Practice locations: York, PA

National Provider Directory

National Provider Directory

Locations

1 E Market St
Ste 301
York, PA 17401
Phone (717) 430-4443

850 E Princess St
York, PA 17403
Phone (717) 344-7142

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1992246573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EAST MARKET STREET",
            "address_2": "STE 301",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011612",
            "telephone_number": "717-430-4443",
            "fax_number": "717-430-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EAST MARKET STREET",
            "address_2": "STE 301",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011612",
            "telephone_number": "717-430-4443",
            "fax_number": "717-430-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY WELLNESS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "NDUNGU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "717-430-4443",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care of York",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.