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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
5249 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 219536 | 05 |
Street Address |
1300 N CENTRAL AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85004-1722 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
Find all providers in zip 85004 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629689922 | Cerebro Wellness LLC | Psychiatry & Neurology | 3031 W Northern Ave Ste 109, Phoenix, AZ 85051-6695 | 2020-08-11 |
1972121218 | Laxus Integrated Health Solutions LLC | Psychiatry & Neurology | 11225 N 28th Dr Ste A102-4, Phoenix, AZ 85029-5606 | 2020-07-13 |
1184257032 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 10720 W Indian School Rd Ste 19, Phoenix, AZ 85037-5799 | 2020-02-19 |
1912461856 | Mobile Medical LLC | Psychiatry & Neurology | 4120 N 108th Ave Ste 116, Phoenix, AZ 85037-5773 | 2019-01-24 |
1063900835 | Arizona Tms Therapy Center | Psychiatry & Neurology | 4602 N 16th St Ste 201, Phoenix, AZ 85016-5161 | 2018-04-27 |
1427565977 | Tanner Community Development Corporation | Psychiatry & Neurology | 700 E Jefferson St Ste 200, Phoenix, AZ 85034-2202 | 2018-01-05 |
1457860561 | Bianca Yvonne Lopez | Psychiatry & Neurology | 3001 N. 33rd Ave, Phoenix, AZ 85017 | 2017-09-21 |
1538683081 | Az Sober Living & Behavioral Health Group, LLC | Psychiatry & Neurology | 2920 N 24th Ave Ste 120, Phoenix, AZ 85015-5958 | 2017-07-26 |
1558715490 | Aaron Kramer | Psychiatry & Neurology | 16841 N 31st Ave Ste 170, Phoenix, AZ 85053-3080 | 2016-04-18 |
1104244300 | Jacob N Stein | Psychiatry & Neurology | 12424 N 32nd St Ste 100, Phoenix, AZ 85032-7156 | 2014-04-03 |
Find all providers in PHOENIX |
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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.