| Wellnite Medical Group | |
|
2150 Shattuck Ave Ph Wellnite Berkeley CA 94704-1370 | |
| (415) 952-9555 | |
| Not Available |
| Full Name | Wellnite Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2150 Shattuck Ave Ph Wellnite, Berkeley, California |
| Authorized Official Name and Position | Amy Halanski (PRESIDENT) |
| Authorized Official Contact | 8776446008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellnite Medical Group 2261 Market St # 4058 San Francisco CA 94114-1612 Ph: (341) 888-7637 | Wellnite Medical Group 2150 Shattuck Ave Ph Wellnite Berkeley CA 94704-1370 Ph: (415) 952-9555 |
| NPI Number | 1952076721 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 11/24/2023 |
| Certification Date | 11/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952076721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | () | Secondary |
| 1041C0700X | Social Worker - Clinical | () | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
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