MEDICARE: WELLNITE MEDICAL GROUP PA

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1811600687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNITE MEDICAL GROUP PA

Provider Business Mailing Address
First Line	:	2261 MARKET ST # 4058
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-1612
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3970 POST RD
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-9235
Country	:	US
Telephone Number	:	877-644-6008
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AMY HALANSKI
Credential	:	MD
Telephone Number	:	800-644-6008

Provider Enumeration Date	:	12/27/2022
Last Update Date	:	12/27/2022

Similar Medicare Providers

1720502677 — MR. RAFAEL DAVID PENA PTA
Practice Location Address:

2871 POST RD , PREHAB SPORTS MEDICARE SERVICES INC.
WARWICK, RI
02886-0076

Practice Phone: 401-463-3060
Practice Fax: 401-732-1045

1396814059 — DR. WILLIAM E. LANCELLOTTI JR. LMHC
Practice Location Address:

3970 POST RD STE 3
WARWICK, RI
02886-9235

Practice Phone: 401-741-1700
Practice Fax:

1336432699 — SPECTRUM PROFESSIONAL SERVICES
Practice Location Address:

3970 POST RD
WARWICK, RI
02886-9235

Practice Phone: 401-648-4677
Practice Fax:

1922615020 — CANDID RHODE ISLAND LLP
Practice Location Address:

3970 POST RD
WARWICK, RI
02886-9235

Practice Phone: 860-481-7631
Practice Fax:

1053057513 — JUMMYOLA CARE LLC
Practice Location Address:

3970 POST RD
WARWICK, RI
02886-9235

Practice Phone: 401-648-9146
Practice Fax: 401-735-1847

1720715543 — THERAPEUTIC ALTERNATIVES AND MEDICAL CANNABIS CENTER LLC
Practice Location Address:

3970 POST RD
WARWICK, RI
02886-9235

Practice Phone: 401-287-8810
Practice Fax: 401-287-8847

Directions to “WELLNITE MEDICAL GROUP PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.