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WELLSTAR, INC
NPI 1477070605
Psychologist - Clinical in Jacksonville, FL

Active since August 28, 2017
4217 BAYMEADOWS RD STE 2, JACKSONVILLE, FL 32217(904) 332-7431(904) 332-7408 Get Directions Write a Review

NPPES record last updated: August 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wellstar, Inc NPPES

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

WELLSTAR, INC (NPI 1477070605) is a healthcare organization registered as a clinical in Jacksonville, Florida and active in the NPI registry since August 2017. The organization lists Wendy C Lu, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1477070605
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameWELLSTAR, INC
Location Address4217 BAYMEADOWS RD STE 2Jacksonville, FL 32217-4676
Mailing Address4217 Baymeadows Rd Ste 2Jacksonville, FL 32217-4676
Phone(904) 332-7431
Fax(904) 332-7408
Organization SubpartNo
Authorized OfficialWendy C LuCredentialing Manager · (904) 221-2535
Enumeration DateAugust 28, 2017
✔ NPI 1477070605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4217 BAYMEADOWS RD STE 2, Jacksonville, FL 32217
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL DALE HOLLENBACH ARNP
Nurse Practitioner (Psychiatric/Mental Health)
4217 BAYMEADOWS RD STE 2
JACKSONVILLE, FL 32217
Duval County (904) 332-7431
RACHEL HOLLENBACH, LLC
Nurse Practitioner (Psychiatric/Mental Health)
4217 BAYMEADOWS RD STE 2
JACKSONVILLE, FL 32217
Duval County (904) 332-7431

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 Wellstar, Inc's NPI number?

The NPI number for Wellstar, Inc is 1477070605. It was assigned to this organization in the NPPES registry on August 28, 2017.

Where is Wellstar, Inc located?

Wellstar, Inc is located at 4217 Baymeadows Rd Ste 2, Jacksonville, FL 32217. The listed phone number is (904) 332-7431.

What is Wellstar, Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Wellstar, Inc was last updated on August 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.