NPI Code Detail JSON Logo

1851289870 NPI number — WELLMIND BEHAVIORAL HEALTH LLC

NPI Number: 1851289870
Health Care Provider/Practitioner: WELLMIND BEHAVIORAL HEALTH LLC

Information about “1851289870” NPI (WELLMIND BEHAVIORAL HEALTH LLC) exists in 1851289870 in HTML format HTML  |  1851289870 in plain Text format TXT  |  1851289870 in PDF (Portable Document Format) PDF  |  1851289870 in an XML format XML  formats.

NPI Number : 1851289870 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851289870",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WELLMIND BEHAVIORAL HEALTH LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2207 N 19TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHILADELPHIA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19132-4318",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "484-981-7909",
    "MailingAddressFaxNumber": "443-508-7782",
    "FirstLinePracticeLocationAddress": "1489 BALTIMORE PIKE STE 216",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPRINGFIELD",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19064-3968",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "484-981-7909",
    "PracticeLocationAddressFaxNumber": "443-508-7782",
    "EnumerationDate": "06/26/2025",
    "LastUpdateDate": "01/20/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ACHALEKE",
    "AuthorizedOfficialFirstName": "JOSEPH",
    "AuthorizedOfficialMiddleName": "NJINYAH",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PMHNP-BC",
    "AuthorizedOfficialTelephoneNumber": "484-981-7909",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM0850X",
          "TaxonomyName": "Adult Mental Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0801X",
          "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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