MEDICARE: AMERICAN HEALTH AND WELLNESS INSTITUTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	0810001495	VA
2	103K00000X	Behavior Analyst	23144	CA
3	103TB0200X	Cognitive & Behavioral Psychologist	0810001495	VA
4	103TB0200X	Cognitive & Behavioral Psychologist	23144	CA
5	103TB0200X	Cognitive & Behavioral Psychologist	PSY003323	GA
6	103TC0700X	Clinical Psychologist	23144	CA
7	103TC0700X	Clinical Psychologist	PSY003323	GA
8	103TM1800X	Intellectual & Developmental Disabilities Psychologist	0810001495	VA
9	103TM1800X	Intellectual & Developmental Disabilities Psychologist	23144	CA
10	225X00000X	Occupational Therapist	12861	CA
11	103TC0700X	Clinical Psychologist	0810001495	VA

General Provider Information

NPI Number	:	1811211741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HEALTH AND WELLNESS INSTITUTE

Provider Business Mailing Address
First Line	:	5580 E 2ND ST
Second Line	:	SUITE 101
City	:	LONG BEACH
State	:	CA
Zip	:	90803-3946
Country	:	US
Telephone Number	:	562-375-0451
Fax Number	:	562-433-5522

Provider Business Practice Location Address
First Line	:	5580 E 2ND ST
Second Line	:	SUITE 101
City	:	LONG BEACH
State	:	CA
Zip	:	90803-3946
Country	:	US
Telephone Number	:	562-375-0451
Fax Number	:	562-433-5522

Authorized Official
Title or Position	:	CHIEF CLINICAL MANAGER
Name	:	DR. ASHVIND N ADKINS SINGH
Credential	:	PHD
Telephone Number	:	562-375-0451

Provider Enumeration Date	:	03/22/2010
Last Update Date	:	10/15/2015

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