WELLSPRING HEALTH OF CA (NPI# 1710379235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710379235 |
| Entity Type | Organization |
| Organization Name | WELLSPRING HEALTH OF CA |
| Practice Address |
Warren Conference Service Ctr 9450 Gilman Drive La Jolla CA 92092-0100 |
| Mailing Address |
2300 Windy Ridge Pkwy Se #210s Atlanta GA 30339-5665 |
| Practice Telephone | 6199483942 |
| Mailing Telephone | (678) 813-0505 |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2017-09-08 |
| Authorized Official Name | DEBRA TOWNSEND (VP OF RCM) |
| Authorized Official Telephone | 4704401647 |
| Is Organization Subpart | Y |
| Parent Organization Name | RIVERMEND HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
WARREN CONFERENCE SERVICE CTR 9450 GILMAN DRIVE |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92092-0100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770096588 | Matthew Cabangun | Specialist/Technologist | 9730 Hopkins Dr, La Jolla, CA 92092-0001 | 2017-11-15 |
| 1225292048 | Lisa Danner Finlay | Rehabilitation Practitioner | Ucsd Counseling and Psyc Services, 9500 Gilman Drive, La Jolla, CA 92092-0001 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962365 | Sydney Nicole Stuber | Physical Therapist | 5580 La Jolla Blvd # 486, La Jolla, CA 92037-7651 | 2020-11-06 |
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1144821224 | Discovery Health Services | Nursing Care | 5726 La Jolla Blvd Ste 104, La Jolla, CA 92037-7342 | 2020-11-04 |
| 1427657618 | Susan Mimm Hogue | Pharmacist | 7757 Eads Ave Unit A5, La Jolla, CA 92037-4332 | 2020-10-20 |
| 1942811260 | Peter Mann Md Inc | Emergency Medicine | 7634 Girard Ave, La Jolla, CA 92037-4420 | 2020-08-11 |
| 1962013383 | Emily Kron | Marriage & Family Therapist | 8950 Villa La Jolla Dr Ste A109, La Jolla, CA 92037-1706 | 2020-08-10 |
| 1124638820 | John Robin Rice | Clinic/Center | 7463 Draper Ave, La Jolla, CA 92037-5026 | 2020-08-06 |
| 1912517707 | Heawon Kim | Optometrist | 9192 Regents Rd Apt E, La Jolla, CA 92037-1442 | 2020-08-05 |
| 1700496080 | Jeffry Clary Warren | Psychologist | 1224 Prospect St Ste 100, La Jolla, CA 92037-3609 | 2020-08-03 |
| 1023627494 | Jessica Merchant | Nurse Practitioner | 9834 Genesee Ave Ste 412, La Jolla, CA 92037-1264 | 2020-07-30 |
| Find all providers in LA JOLLA | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112157 | 10-20 Club Inc. | Clinic/Center | 8221 3rd St Ste 403, Downey, CA 90241-3733 | 2020-10-20 |
| 1447857040 | Mary Cox, Lmft | Clinic/Center | 13800 Heacock St Ste 230a, Moreno Valley, CA 92553-8824 | 2020-10-06 |
| 1821607771 | Tonya Octave, Lcsw, Prof Corp | Clinic/Center | 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 | 2020-07-27 |
| 1972121762 | Environmental Alternatives Susanville | Clinic/Center | 2003 Main St, Susanville, CA 96130-4501 | 2020-07-08 |
| 1083231781 | Treehouse Child Therapy Professional Corporation | Clinic/Center | 514 N California Ave Ste 13, Beaumont, CA 92223-2120 | 2020-06-29 |
| 1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
| 1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
| 1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
| 1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
| 1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
| Find all providers with the same taxonomy | ||||
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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.