Organization Active NPI

Wellpath Behavioral and Psychological Services LLC

  • Behavior Analyst
  • Naples, FL
National Provider Identifier
1992314488
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
WELLPATH BEHAVIORAL AND PSYCHOLOGICAL SERVICES LLC
Practice address
3720 19TH Ave SW
Naples, FL 34117-6142
Phone
(305) 815-6167
NPI assigned
Jul 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Dr. Eileen Christine Calderon, PY.D.NPI 1437467776
Title
Owner
Phone
(305) 815-6167

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
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3720 19TH Ave SW
Naples, FL 34117-6142

Mailing address

3720 19TH Ave SW
Naples, FL 34117-6142
Phone (305) 815-6167

National Provider Directory

National Provider Directory

Locations

5425 Golden Gate Pkwy
Ste 7
Naples, FL 34116
Phone (239) 778-8455

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": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1992314488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 19TH AVE SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341176142",
            "telephone_number": "305-815-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 19TH AVE SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341176142",
            "telephone_number": "305-815-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPATH BEHAVIORAL AND PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-815-6167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PY.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.