COMPLETE WELLNESS, INC. (NPI# 1053821827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053821827 |
| Entity Type | Organization |
| Organization Name | COMPLETE WELLNESS, INC. |
| Practice Address |
10 W Madison St Ste 11 Baltimore MD 21201-2313 |
| Practice Telephone | 4434387863 |
| Practice Fax Number | 4439579485 |
| Mailing Telephone | 4434387863 |
| Mailing Fax Number | 4439579485 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |
| Authorized Official Name | WILLIAM DURWOOD WHITTEN (PRESIDENT) |
| Authorized Official Telephone | 4434387863 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | COMPLETE WELLNESS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | DX3730 | MD | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | DX3730 | MD | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 123174000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912336934 | Complete Wellness, Inc. | Community/Behavioral Health | 10 W Madison St, #11, Baltimore, MD 21201-5239 | 2013-11-12 |
| 1811505076 | Complete Wellness, Inc. | Psychologist | 10 W Madison St Ste 11, Baltimore, MD 21201-2313 | 2020-07-14 |
| Street Address |
10 W MADISON ST STE 11 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-2313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508265737 | Jessica Page Sullivan | Nurse Practitioner | 10 W Madison St Ste 11, Baltimore, MD 21201 | 2014-08-13 |
| 1811505076 | Complete Wellness, Inc. | Psychologist | 10 W Madison St Ste 11, Baltimore, MD 21201-2313 | 2020-07-14 |
| 1265067631 | Joshua Kleiner | Counselor | 10 W Madison St Ste 11, Baltimore, MD 21201-2313 | 2020-03-06 |
| 1447881560 | Joseph Salvatore | Counselor | 10 W Madison St Ste 11, Baltimore, MD 21201-2313 | 2020-01-28 |
| 1790329894 | Complete Wellness Recovery, Inc | Counselor | 10 W Madison St Ste 11, Baltimore, MD 21201-2313 | 2019-10-31 |
| 1417458274 | Douglas A Frew | Psychologist | 10 W Madison St Ste 11, Baltimore, MD 21201-2313 | 2018-02-26 |
| 1013426071 | Donald Edward Dolan | Counselor | 10 W Madison St Ste 11, Baltimore, MD 21201 | 2017-09-21 |
| 1003205907 | Home Free Iop | Community/Behavioral Health | 10 W Madison St Ste 11, Baltimore, MD 21201-5239 | 2015-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609485176 | Olivia Massa | Dietitian, Registered | 2437 Eastern Ave Apt A, Baltimore, MD 21224-3692 | 2020-07-30 |
| 1548879018 | Isabel Betancourt | Dietitian, Registered | 3048 Odonnell St Apt 1r, Baltimore, MD 21224-4580 | 2020-07-30 |
| 1245854900 | Erin Shaw | Dietitian, Registered | 1734 Maryland Ave # 200, Baltimore, MD 21201-5804 | 2020-05-29 |
| 1487276234 | Peggy Yen | Dietitian, Registered | 106 1/2 Upnor Rd, Baltimore, MD 21212-3326 | 2020-05-15 |
| 1831724616 | Elena Kunicki | Dietitian, Registered | 777 S Eden St Apt 928, Baltimore, MD 21231-2844 | 2020-03-11 |
| 1720625668 | Ilene Marie Cervantes Del Toro | Dietitian, Registered | 2122 E Lombard St, Baltimore, MD 21231-2019 | 2019-12-10 |
| 1629615661 | Sara Zisow-mcclean | Dietitian, Registered | 2608 Hamilton Ave, Baltimore, MD 21214-1909 | 2019-12-10 |
| 1710523519 | Merritt Athletic Clubs, LLC | Dietitian, Registered | 2058 Lord Baltimore Dr, Baltimore, MD 21244-2501 | 2019-11-27 |
| 1407400849 | Apple Wellness and Nutrition Center | Dietitian, Registered | 708 Nottingham Rd Ste 2, Baltimore, MD 21229-1391 | 2019-07-24 |
| 1821659194 | Elizabeth Glenn | Dietitian, Registered | 300 N Charles St Apt 306, Baltimore, MD 21201-4335 | 2019-06-26 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.