CARL S. WELLISH


Address: 1300 N Central Ave, Phoenix, AZ 85004-1722
Phone: 6022510650

CARL S. WELLISH (NPI# 1174551220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174551220
Entity Type Individual
Full Name CARL S. WELLISH
Credential M.D.
Practice Address 1300 N Central Ave
Phoenix
AZ 85004-1722
Mailing Address 444 N 44th St
Phoenix
AZ 85008-7624
Practice Telephone 6022510650
Mailing Telephone 6026853846
Enumeration Date 2006-06-29
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
5249 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 219536 05

Office Location

Street Address 1300 N CENTRAL AVE
City PHOENIX
State AZ
Zip Code 85004-1722

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982728267 Magellan Health Services of Arizona, Inc. Case Management 1300 N Central Ave, Phoenix, AZ 85004-1722 2007-03-19
1982913034 Janette Marisa Albarracin Nurse Practitioner 1300 N Central Ave, Phoenix, AZ 85004-1722 2010-10-06
1235373960 People of Color Network Clinic/Center 1300 N Central Ave, Phoenix, AZ 85004-1722 2009-04-24

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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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1558715490 Aaron Kramer Psychiatry & Neurology 16841 N 31st Ave Ste 170, Phoenix, AZ 85053-3080 2016-04-18
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Competitor

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City PHOENIX
Zip Code 85004

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Dataset Information

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.

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