WELLSPRING (NPI# 1558767970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558767970 |
| Entity Type | Organization |
| Organization Name | WELLSPRING |
| Practice Address |
5618 Nw 43rd Street Gainesville FL 32653 |
| Practice Telephone | 3523778770 |
| Practice Fax Number | 3523713623 |
| Mailing Telephone | 3523778770 |
| Mailing Fax Number | 3523713623 |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-14 |
| Authorized Official Name | GEORGE RANDALL WILLIAMS (OWNER) |
| Authorized Official Telephone | 3523778770 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | ME0037298 | FL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619188794 | Wellspring | Counselor | 1335 Dublin Rd., Suite 208d, Columbus, OH 43214 | 2007-05-24 |
| 1003851411 | Wellspring | Counselor | 15 E Pleasant St, Springfield, OH 45506-2201 | 2006-06-19 |
| 1558765016 | Wellspring | Counselor | 5618 Nw 43rd St, Gainesville, FL 32653-3406 | 2014-10-13 |
| 1912262619 | Wellspring | Counselor | 15 E Pleasant St, Springfield, OH 45506-2201 | 2012-07-09 |
| 1912046202 | Wellspring | Clinic/Center | 2034 Se 6th Ave, Portland, OR 97214-4510 | 2007-02-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WELLSPRING | 2181 Vista Entrada, Newport Beach, CA 92660-3937 |
| Colorado Business Entities | WELLSPRING | 3208 68th Ave Ct, Suite 203, Greeley, CO 80634 |
| Oregon Corporations, Companies and Business Names | WELLSPRING 1, LLC | 220 Clydesdale Dr, Grants Pass, OR 97526 |
| Oregon Corporations, Companies and Business Names | WELLSPRING 2, LLC | 220 Clydesdale Dr, Grants Pass, OR 97526 |
| Washington State Corporations | WELLSPRING 24 HR ELDERLY CARE LLC | 14611 Se 192nd St, Renton, WA 98058-9420 |
| Washington State Corporations | WELLSPRING 294 LLC | 527 Covered Bridge Rd, Grays River, WA 98621-9716 |
| Colorado Business Entities | WellSpring 360 of Colorado, LLC | 5750 South Cherry Circle, Greenwood Village, CO 80121 |
| Oklahoma Business Registrations | WELLSPRING ADVANTAGE, LLC | 1707 Ranch Rd, Sulphur, OK 73086 |
| Washington State Corporations | WELLSPRING AFH CORP | 26016 116th Ave Se, Kent, WA 98030-8480 |
| Oregon Corporations, Companies and Business Names | WELLSPRING AIKIDO | 1205 Se Harvey Dr, Grants Pass, OR 97526 |
| Street Address |
5618 NW 43RD STREET |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200095 | Venice Hay Lawrence | Home Health Aide | 6604 Nw 28th Terr, Gainesville, FL 32653 | 2018-10-08 |
| 1770093320 | Daniel Mcpherson | Counselor | 4703 Nw 53rd Ave., Suite A-2, Gainesville, FL 32653 | 2017-10-10 |
| 1558883306 | Rustlewood Emergency Physicians LLC | Emergency Medicine | 4388 Nv 53rd Street Avenue, Gainesville, FL 32653 | 2017-07-13 |
| 1770989246 | Dawn Brown | Physician Assistant | North Florida Integrative Medicine, 6228 Nw 43rd Street Suite B, Gainesville, FL 32653 | 2014-11-11 |
| 1124428610 | Emma Grauerholz-fisher | Behavioral Analyst | 6224 Nw 43rd St., Suite B, Gainesville, FL 32653 | 2014-09-03 |
| 1790194611 | Yoko Fisher | Behavioral Analyst | 6224 Nw 43rd, Suite B, Gainesville, FL 32653 | 2014-08-05 |
| 1457763674 | Brandon Christopher Perez | Behavioral Analyst | 6224 Nw 43rd St, Suite B, Gainesville, FL 32653 | 2014-05-22 |
| 1417369836 | Karla Zabala | Behavioral Analyst | 6224 Nw 43rd Street, Suite B, Gainesville, FL 32653 | 2014-05-21 |
| 1780909358 | Kirstin Barley Adams | Family Medicine | 3627 Nw 64th Ln, Gainesville, FL 32653 | 2010-04-07 |
| 1710216098 | Sandra Rattray Jones | Counselor | 5618 Nw 43rd Ave., Gainesville, FL 32653 | 2009-12-15 |
| Find all providers in zip 32653 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174983480 | Gainesville Vamc | Psychiatric Residential Treatment Facility | 1601 S.w. Archer Road, Gainesville, FL 32608-1197 | 2016-02-29 |
| 1952712978 | Meridian Behavioral Healthcare Inc | Psychiatric Residential Treatment Facility | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2014-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114546512 | Access Granted Now, Inc | Psychiatric Residential Treatment Facility | 6502 28th Ave E, Palmetto, FL 34221-8866 | 2020-04-15 |
| 1336789478 | Insight Behavioral Health & Addiction Solutions, Inc. | Psychiatric Residential Treatment Facility | 1116 Dogwood Ave, Tampa, FL 33613-1718 | 2020-01-07 |
| 1154960417 | Insight Behavioral Health & Addiction Solutions, Inc. | Psychiatric Residential Treatment Facility | 14806 Wedgewood Dr, Tampa, FL 33613-1529 | 2020-01-03 |
| 1376189951 | Blessings Treatment and Recovery Center | Psychiatric Residential Treatment Facility | 4123 Tonga Ln Apt 2, New Port Richey, FL 34653-6169 | 2019-11-19 |
| 1073168431 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 151 Southhall Ln Ste 165, Maitland, FL 32751-7486 | 2019-08-02 |
| 1730742891 | Blessings Treatment and Recovery Center LLC | Psychiatric Residential Treatment Facility | 4127 Tonga Ln Apt 2, New Port Richey, FL 34653-6168 | 2019-04-15 |
| 1194236513 | Kinder In The Keys | Psychiatric Residential Treatment Facility | 6 Ocean View Blvd, Key Largo, FL 33037-3833 | 2017-10-12 |
| 1932631827 | Boca Ri LLC | Psychiatric Residential Treatment Facility | 1000 Nw 15th St, Boca Raton, FL 33486 | 2017-03-30 |
| 1457898744 | Phpts of Ormond Beach, LLC | Psychiatric Residential Treatment Facility | 515 Tomoka Ave, Ormond Beach, FL 32174-6133 | 2017-01-24 |
| 1619411014 | Renaissance Healthcare Group LLC | Psychiatric Residential Treatment Facility | 119 Pasadena Pl, Orlando, FL 32803-3825 | 2016-12-05 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32653 |
Please comment or provide details below to improve the information on WELLSPRING.
| 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.