WELLSPACE HEALTH (NPI# 1871617688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871617688 |
| Entity Type | Organization |
| Organization Name | WELLSPACE HEALTH |
| Practice Address |
1550 Juliesse Ave Sacramento CA 95817-3648 |
| Mailing Address |
1820 J Street Sacramento CA 95811-3010 |
| Practice Telephone | 9167375555 |
| Mailing Telephone | 9165505481 |
| Mailing Fax Number | 9168228974 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | DR. ALASDAIR JONATHAN PORTEUS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9165505444 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 25950817 | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720546724 | Wellspace Health | Clinic/Center | 4241 Florin Rd Ste 30, Sacramento, CA 95823-2535 | 2019-03-08 |
| 1104210608 | Wellspace Health | Clinic/Center | 3535 65th St, Suite C, Sacramento, CA 95820-2057 | 2015-03-23 |
| 1265777692 | Wellspace Health | Clinic/Center | 631 H St, Sacramento, CA 95814 | 2012-12-12 |
| 1679819007 | Wellspace Health | Clinic/Center | 3415 Martin Luther King Jr. Blvd, Sacramento, CA 95817-3648 | 2012-12-12 |
| 1821357492 | Wellspace Health | Clinic/Center | 8231 E Stockton Blvd, Suite C, Sacramento, CA 95828-8202 | 2012-05-16 |
| 1225335581 | Wellspace Health | Clinic/Center | 5321 Stockton Blvd, Sacramento, CA 95820-5411 | 2011-02-23 |
| 1275687659 | Wellspace Health | Counselor | 8233 East Stockton Blvd., Suite D, Sacramento, CA 95817-3648 | 2007-01-22 |
| 1033295084 | Wellspace Health | Community/Behavioral Health | 4441 Auburn Blvd, Suite E, Sacramento, CA 95841-4139 | 2006-10-31 |
| 1558446179 | Wellspace Health | Community/Behavioral Health | 4343 Williamsbourgh Drive, Sacramento, CA 95823-2006 | 2006-10-25 |
| 1144853060 | Wellspace Health | Pharmacy | 2425 Alhambra Blvd, Sacramento, CA 95817-1110 | 2020-02-19 |
| Street Address |
1550 JULIESSE AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872187 | Leonard Van Young Sr. | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2020-08-17 |
| 1699394965 | Brittany May Garcia | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2020-04-15 |
| 1871126110 | Natalie Erin Miller | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2020-02-14 |
| 1447890751 | James Edward Bone | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2020-01-14 |
| 1700426459 | Rhiannon Duncan | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2020-01-10 |
| 1912546169 | James Joseph Hernandez | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2020-01-04 |
| 1396381778 | Raymond Edward Jones | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2019-11-21 |
| 1700341112 | Sean Matthew Nardine | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2019-02-10 |
| 1366910473 | Shawnae Carey | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2018-11-06 |
| 1922584754 | Deidre Devine | Counselor | 1550 Juliesse Ave, Sacramento, CA 95815-1803 | 2018-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417580093 | Turning Point Community Programs | Community/Behavioral Health | 5417 Madison Ave, Sacramento, CA 95841-3164 | 2020-02-21 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| 1558907543 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite 102, Sacramento, CA 95825 | 2019-11-25 |
| 1912463852 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 3800 Watt Ave., Suite 110, Sacramento, CA 95821-2622 | 2019-02-15 |
| 1902379068 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 401 S. Street, Suite 101, Sacramento, CA 95811-6919 | 2019-01-10 |
| 1952883829 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave Suite 102, Sacramento, CA 95825 | 2018-09-06 |
| 1770088718 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 401 S St Ste 101, Sacramento, CA 95811-6919 | 2018-03-29 |
| 1891299350 | R&c Holdings | Community/Behavioral Health | 1109 Roundtree Ct, Sacramento, CA 95831-2640 | 2018-03-20 |
| 1437657301 | Mending Hearts Mending Minds Inc | Community/Behavioral Health | 6524 44th Street, Sacramento, CA 95823-5667 | 2018-01-25 |
| 1902312838 | Lilliput Families | Community/Behavioral Health | 2750 Sutterville Rd # Cottage3, Sacramento, CA 95820-1024 | 2017-12-14 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.