Healthcare Provider Details

I. General information

NPI: 1033079991
Provider Name (Legal Business Name): WELLTHY PSYCHIATRY AND WELLNESS, A PROFESSIONAL NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 POST ST STE 939
SAN FRANCISCO CA
94102-1414
US

IV. Provider business mailing address

490 POST ST STE 939
SAN FRANCISCO CA
94102-1414
US

V. Phone/Fax

Practice location:
  • Phone: 415-409-9286
  • Fax: 415-449-3482
Mailing address:
  • Phone: 415-409-9286
  • Fax: 415-449-3482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. EARL JAMES YBANEZ JOHNS
Title or Position: OWNER/ CEO
Credential: PMHNP-BC
Phone: 650-438-5438