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WELLSPACE HEALTH NPI 1700392529


NPI Information

NPI: 1700392529
Provider Name: WELLSPACE HEALTH

Doing Business As: WELLSPACE HEALTH STRATEGIES FOR CHANGE

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 05D2125524

Address:
3801 BROADWAY
SACRAMENTO, CA
ZIP 95817
Phone: (916) 277-6600
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WELLSPACE HEALTH is a community behavioral health in Sacramento, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. WELLSPACE HEALTH NPI is 1700392529. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellspace Health Strategies For Change.

The provider's business location address is:

3801 BROADWAY
SACRAMENTO, CA
ZIP 95817-301
Phone: (916) 277-6600
Fax: (916) 395-3683

The provider's authorized official is Alasdair Jonathan Porteus .
The authorized official title is Chief Executive Officer and has the following contact phone number (916) 550-5444.

The CLIA number assigned to this NPI record is 05D2125524 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/15/2017 and was last updated on 12/15/2017.


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
1251S00000XCommunity/Behavioral HealthCALIFORNIAYes

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: 4/28/2024

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