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WHOLESOME COMMUNITY MEMBERS CLUB INC
NPI 1396210373
Nurse Practitioner - Psychiatric/Mental Health in Van Nuys, CA

Active since October 05, 2018
6309 VAN NUYS BLVD STE 102, VAN NUYS, CA 91401(818) 239-9586 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 10, 2019, Dec 7, 2018, Oct 5, 2018 (3 updates tracked since 2018).

About Wholesome Community Members Club Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHOLESOME COMMUNITY MEMBERS CLUB INC (NPI 1396210373) is a healthcare organization registered as a psychiatric/mental health in Van Nuys, California and active in the NPI registry since October 2018. The organization lists Melvin Douglas Mitchell, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1396210373
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameWHOLESOME COMMUNITY MEMBERS CLUB INC
Location Address6309 VAN NUYS BLVD STE 102Van Nuys, CA 91401-6629
Mailing AddressPo Box 1763Sun Valley, CA 91353-1763 · (818) 239-9586
Phone(818) 239-9586
Organization SubpartNo
Authorized OfficialMelvin Douglas MitchellNurse Practitioner · (818) 239-9586
Enumeration DateOctober 5, 2018
Last NPPES UpdateApril 10, 20193 updates tracked since enumeration
✔ NPI 1396210373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedVoluntary or CharitableTaxonomy 251V00000X
6309 VAN NUYS BLVD STE 102, Van Nuys, CA 91401
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wholesome Community Members Club Inc's NPI number?

The NPI number for Wholesome Community Members Club Inc is 1396210373. It was assigned to this organization in the NPPES registry on October 5, 2018.

Where is Wholesome Community Members Club Inc located?

Wholesome Community Members Club Inc is located at 6309 Van Nuys Blvd Ste 102, Van Nuys, CA 91401. The listed phone number is (818) 239-9586.

What is Wholesome Community Members Club Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Wholesome Community Members Club Inc was last updated on April 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.