WELL PSYCHE MEDICAL GROUP NPI 1235476318

NPI Information

  • NPI: 1235476318
  • Provider Name: WELL PSYCHE MEDICAL GROUP
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Organization
  • Address: 15260 VENTURA BLVD STE 1200
    SHERMAN OAKS, CA
    ZIP 91403
  • Phone: (310) 871-0670

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NPI Details

WELL PSYCHE MEDICAL GROUP is a child and adolescent psychiatry psychiatry neurology in Sherman Oaks, CA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. WELL PSYCHE MEDICAL GROUP NPI is 1235476318. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15260 VENTURA BLVD STE 1200
SHERMAN OAKS, CA
ZIP 91403-347
Phone: (310) 871-0670
Fax: (310) 469-7845

The provider's authorized official is Adel Mostafavi .
The authorized official title is Ceo and has the following contact phone number (949) 400-2488.

The enumeration date for this NPI number is 1/10/2013 and was last updated on 6/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryA92472CALIFORNIANo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryA92472CALIFORNIAYes
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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