Provider Type Icon

WELLMIND.ONLINE CA LICENSED CLINICAL SOCIAL WORKER PROF. CORP. NPI 1447871272


NPI Profile

NPI: 1447871272
Provider Name: WELLMIND.ONLINE CA LICENSED CLINICAL SOCIAL WORKER PROF. CORP.

Other Name: WELLMIND.ONLINE

Classification:Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2100 GENG RD STE 210
PALO ALTO, CA
ZIP 94303
Get Directions

Phone: (833) 646-3243

WELLMIND.ONLINE CA LICENSED CLINICAL SOCIAL WORKER PROF. CORP. is an adult mental health clinic center in Palo Alto, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. WELLMIND.ONLINE CA LICENSED CLINICAL SOCIAL WORKER PROF. CORP. NPI is 1447871272. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Wellmind.online.

The provider's business location address is:

2100 GENG RD STE 210
PALO ALTO, CA
ZIP 94303-307
Phone: (833) 646-3243

The provider's authorized official is Laura Beann .
The authorized official title is Ceo and has the following contact phone number (833) 646-3243.

The enumeration date for this NPI number is 5/4/2020 and was last updated on 10/30/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QM0850XClinic/CenterAdult Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100126284MEDICAIDCALIFORNIA

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: 10/10/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.