FAMILY WELLNESS CENTER (NPI# 1003233545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003233545 |
| Entity Type | Organization |
| Organization Name | FAMILY WELLNESS CENTER |
| Practice Address |
751 Basque Way Suite D Carson City NV 89706-7934 |
| Mailing Address |
316 Golden Pick Dr Dayton NV 89403-7412 |
| Practice Telephone | 7754002996 |
| Mailing Telephone | 7754002996 |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2014-06-02 |
| Authorized Official Name | MR. KRISTOPHER L KOMAREK (OWNER) |
| Authorized Official Telephone | 7754002996 |
| Authorized Official Credential | LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NV20141195652 | NV | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093929010 | Family Wellness Center | Family Medicine | 72 State Rd, Dartmouth, MA 02747-2920 | 2007-05-09 |
| 1669893533 | Family Wellness Center | Family Medicine | 1000 Se Tech Center Dr Ste 120, Vancouver, WA 98683-5548 | 2013-12-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY WELLNESS CENTER | 2621 W Wackerly St Ste E, Midland, MI 48640-6994 |
| Oregon Corporations, Companies and Business Names | FAMILY WELLNESS CENTER | 2899 10th St, Baker City, OR 97814 |
| Street Address |
751 BASQUE WAY SUITE D |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89706-7934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144795741 | Vera Whole Health, Wa PC | Clinic/Center | 190 E. Winnie Lane, Carson City, NV 89706 | 2018-10-10 |
| 1811339013 | Eng Keong Tan | Internal Medicine | 2874 N Carson St Ste 120, Carson City, NV 89706 | 2013-07-29 |
| 1649583691 | Tamara June Nance | Marriage & Family Therapist | 1047 Mark Way, Carson City, NV 89706 | 2010-07-20 |
| 1992926646 | Jack Richard Araza | Psychologist | 309 East John St. Ste #1, Carson City, NV 89706 | 2007-05-01 |
| 1003939356 | Kenneth Anthony Edwards | Psychologist | 10116 Highway 50 East, Suite 101, Mound House, NV 89706 | 2007-04-09 |
| 1528132065 | Raymond B Graber II | Dentist | 2600 E College Parkway H23, Carson City, NV 89706 | 2006-11-17 |
| 1619511268 | Lindsey Michele Benedict | Pharmacist | 3325 Research Way, Community Health Pharmacy, Carson City, NV 89706 | 2019-11-06 |
| 1598279648 | Michelle Rae Tye | Behavior Technician | 3416 Goni Rd Ste D132, Carson City, NV 89706 | 2017-11-28 |
| 1952720203 | Nalini Channapatna Prasanna | Social Worker | 1665 Old Hot Springs Road, Suite 150, Carson City, NV 89706 | 2014-04-15 |
| 1851646657 | Farres Nitam Uddin Ahmed | Radiology | 2874 N Carson St Ste 300, Carson City, NV 89706 | 2012-07-17 |
| Find all providers in zip 89706 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540380 | Vitality Integrated Programs - Ccbhc - Carson City | Community/Behavioral Health | 680 W Nye Ln Ste And202, Carson City, NV 89703-1575 | 2018-12-19 |
| 1477932440 | Heather Liane Flowers | Community/Behavioral Health | 755 N. Roop Street, Suite 106, Carson City, NV 89701-3107 | 2015-05-24 |
| 1295139822 | Effective Life Changing Counseling | Community/Behavioral Health | 711 S Carson St Ste 4, Fpo, Carson City, NV 89701-5292 | 2014-10-10 |
| 1659703916 | Compass Behavior Health | Community/Behavioral Health | 1609 Marian Ave, Carson City, NV 89706-2631 | 2013-08-08 |
| 1134499015 | Theresa Simmons | Community/Behavioral Health | 11 Castle Way, Carson City, NV 89706-1932 | 2012-01-09 |
| 1992875157 | Golla Home | Community/Behavioral Health | 670 Washoe Dr, Carson City, NV 89704-9528 | 2006-11-08 |
| 1790020550 | Theresa L Simmons | Community/Behavioral Health | 11 Castle Way, Carson City, NV 89706-1932 | 2012-12-05 |
| 1386948727 | Carson Tahoe Behavioral Health Services | Community/Behavioral Health | 1001 Mountain St, Ross Bldg. Ste. 3-h, Carson City, NV 89703-3848 | 2010-12-28 |
| 1780985721 | Jack Gary Golla | Community/Behavioral Health | 670 Washoe Dr, Carson City, NV 89704-9528 | 2010-11-08 |
| 1730489998 | Jean Caroline Golla | Community/Behavioral Health | 670 Washoe Dr, Carson City, NV 89704-9528 | 2010-10-21 |
| Find all providers in CARSON CITY | ||||
| City | CARSON CITY |
| Zip Code | 89706 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.