WELLSPRING FAMILY MEDICINE, PC (NPI# 1265952998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265952998 |
| Entity Type | Organization |
| Organization Name | WELLSPRING FAMILY MEDICINE, PC |
| Other Organization Name | WELLSPRING FAMILY MEDICINE |
| Practice Address |
311 N 4th St Oakland MD 21550-1371 |
| Practice Telephone | (301) 334-7855 |
| Practice Fax Number | 3013347828 |
| Mailing Telephone | 3013347855 |
| Mailing Fax Number | 3013347828 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2020-04-07 |
| Authorized Official Name | RAMONA THOMAS (OPERATIONS MANAGER) |
| Authorized Official Telephone | 3015015110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
12014 | MD | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 05746 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810006442 | 05 | |
| MD | 413901100 | 05 |
| Other Name | Type Code |
|---|---|
| Wellspring family Medicine | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 106 Cemetery Rd, Accident, MD 215202097 | 3013347855 | 3013347828 |
| 20 N 3rd St, Oakland, MD 215501322 | 3013347855 | 3013347828 |
| 31452 Veterans Memorial Hwy, Terra Alta, WV 267649715 | 3047891029 | 3047891003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194744359 | Wellspring Family Medicine, PC | Family Medicine | 311 N 4th St, Suite 1, Oakland, MD 21550-1395 | 2006-07-19 |
| Street Address |
311 N 4TH ST |
| City | OAKLAND |
| State | MD |
| Zip Code | 21550-1371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437141066 | Hanchong J Park | Orthopaedic Surgery | 311 N 4th St, Oakland, MD 21550-1371 | 2005-08-19 |
| 1316472392 | Amber Dawn King | Physician Assistant | 311 N 4th St, Oakland, MD 21550-1371 | 2017-04-27 |
| 1144762378 | Dawn Patricia Ross | Social Worker | 311 N 4th St, Suite 1, Oakland, MD 21550-1371 | 2016-11-04 |
| 1588111884 | Jennifer Resh | Nurse Practitioner | 311 N 4th St, Suite 1, Oakland, MD 21550-1371 | 2016-09-02 |
| 1265884464 | Elyzabeth Ruta Savage Goralski | Nurse Practitioner | 311 N 4th St, Oakland, MD 21550-1371 | 2016-07-12 |
| 1831563907 | Lawrence Knapp | Nurse Practitioner | 311 N 4th St, Oakland, MD 21550-1371 | 2015-11-30 |
| 1053702894 | Garrett Medical Group, Pa | Clinical Medical Laboratory | 311 N 4th St, Oakland, MD 21550-1371 | 2015-02-16 |
| 1700209418 | Shannon Leigh Trego | Physician Assistant | 311 N 4th St, Oakland, MD 21550-1371 | 2014-01-31 |
| 1164860250 | Alea Lynne Mcclintock-donahue | Nurse Practitioner | 311 N 4th St, Oakland, MD 21550-1371 | 2013-06-11 |
| 1952682320 | Dena Beckner | Physician Assistant | 311 N 4th St, Suite 1, Oakland, MD 21550-1371 | 2011-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619470218 | Care 1st Wellness | Counselor | 13223 Garrett Highway, Suite 2, Oakland, MD 21550 | 2018-03-10 |
| 1285133041 | Ruth Chisholm | Dietitian, Registered | 251 North Fourth Street, Oakland, MD 21550 | 2018-02-07 |
| 1992221055 | Garrett Treatment Center, LLC | Clinic/Center | 233 East Alder Street, Suite A, Oakland, MD 21550 | 2017-08-20 |
| 1801347638 | Pressley Ridge | Community/Behavioral Health | 8000 Thayer Center, Oakland, MD 21550 | 2016-10-17 |
| 1639588486 | Bridget Frazee | Pharmacist | 220 N 3rd Street, Oakland, MD 21550 | 2014-08-06 |
| 1649562901 | Rachel Renee Friend-lantz | Nurse Practitioner | 13145 Garrett Hwy, Oakland, MD 21550 | 2011-05-05 |
| 1003034794 | Rodney Steve Richard | Social Worker | 20 East Oak St., Oakland, MD 21550 | 2007-04-20 |
| 1114141785 | Garrett County Board of Education | Local Education Agency (LEA) | 40 S Second Street, Oakland, MD 21550 | 2007-04-12 |
| 1437372620 | D W Sheets Dmd LLC | Dentist | 4000 Thayer Center, Oakland, MD 21550 | 2007-04-10 |
| 1003943465 | Lisa C Scott | Physician Assistant | 69 Wolf Acres Drive, Oakland, MD 21550 | 2007-02-27 |
| Find all providers in zip 21550 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326661430 | Gina M Arias | Psychologist | 3287 Madera Ave, Oakland, CA 94619-3412 | 2020-05-22 |
| 1871127464 | Karena Berghold Passaro | Psychologist | 5665 College Ave Ste 230d, Oakland, CA 94618-1639 | 2020-02-24 |
| 1053883025 | Lindsey Brooke Hopkins | Psychologist | 287 17th St Ste A, Oakland, CA 94612-4191 | 2018-12-31 |
| 1164903563 | Mindhealth, A Professional Psychology Corporation | Psychologist | 585 Mandana Blvd Ste 1, Oakland, CA 94610-2265 | 2018-08-23 |
| 1306338892 | Mark Fromm | Psychologist | 3296 Jordan Rd, Oakland, CA 94602-3535 | 2018-05-31 |
| 1205363199 | Holly Lynn Buckman | Psychologist | 1440 Broadway Ste 314, Oakland, CA 94612-2023 | 2017-05-22 |
| 1871942904 | Terri Marie Rech | Psychologist | 5835 College Ave Ste C, Oakland, CA 94618-1653 | 2016-06-09 |
| 1760867329 | William Barone | Psychologist | 360 Monte Vista Ave Apt 309, Oakland, CA 94611-4559 | 2015-07-24 |
| 1568853067 | Jason Carpenter | Psychologist | 715 62nd St, Oakland, CA 94609-1213 | 2015-02-05 |
| 1235535568 | Monique Thompson | Psychologist | 5297 College Ave # 206, Oakland, CA 94618-1462 | 2014-11-13 |
| Find all providers in OAKLAND | ||||
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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.