PACIFIC WELLNESS GROUP A PROFESSIONAL MARRIAGE & FAMILY THERAPY CORP
NPI 1477137933
Clinic/Center - Mental Health (Including Community Mental Health Center) in Santa Monica, CA

Q: What is Pacific Wellness Group A Professional Marriage & Family Therapy Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since May 11, 2021

2716 OCEAN PARK BLVD STE 3075, SANTA MONICA, CA 90405(424) 436-1872(424) 416-7478 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2022, May 11, 2021 (2 updates tracked since 2021).

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About Pacific Wellness Group A Professional Marriage & Family Therapy Corp NPPES

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

PACIFIC WELLNESS GROUP A PROFESSIONAL MARRIAGE & FAMILY THERAPY CORP (NPI 1477137933), doing business as Pacific Wellness Group, is a healthcare organization registered as a mental health (including community mental health center) in Santa Monica, California and active in the NPI registry since May 2021. The organization lists Tracy Bevington, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477137933

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NamePACIFIC WELLNESS GROUP A PROFESSIONAL MARRIAGE & FAMILY THERAPY CORP

Location Address2716 OCEAN PARK BLVD STE 3075Santa Monica, CA 90405-5232

Mailing Address2716 Ocean Park Blvd Ste 3075Santa Monica, CA 90405-5232 · (424) 436-1872 · Fax (424) 416-7478

Phone(424) 436-1872

Fax(424) 416-7478

Organization SubpartNo

Authorized OfficialTracy BevingtonCeo · (424) 436-1872

Enumeration DateMay 11, 2021

Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2022

✔ NPI 1477137933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

2716 OCEAN PARK BLVD STE 3075, Santa Monica, CA 90405

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Other Names 2

Doing Business AsPacific Wellness Group

Doing Business AsTellahealth Ca

Other Providers at the Same Location NPPES 20

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

AMIT ROZEN

Marriage & Family Therapist