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MENTAL WELLNESS PSYCHIATRY
NPI 1629861091
Nurse Practitioner - Psychiatric/Mental Health in Florence, OR

Active since May 27, 2025
188 HUCKLEBERRY LN, FLORENCE, OR 97439(541) 725-2565(862) 205-4480 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2025, May 27, 2025 (2 updates tracked since 2025).

About Mental Wellness Psychiatry NPPES

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

MENTAL WELLNESS PSYCHIATRY (NPI 1629861091) is a healthcare organization registered as a psychiatric/mental health in Florence, Oregon and active in the NPI registry since May 2025. The organization lists Bola Fadipe, President, as its authorized official.

NPPES Registry Identity

NPI1629861091
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMENTAL WELLNESS PSYCHIATRY
Location Address188 HUCKLEBERRY LNFlorence, OR 97439-8779
Mailing Address2386 Morris Ave Ste 205Union, NJ 07083-5723 · (908) 777-1617
Phone(541) 725-2565
Fax(862) 205-4480
Organization SubpartNo
Authorized OfficialBola FadipePresident · (541) 725-2565
Enumeration DateMay 27, 2025
Last NPPES UpdateJuly 3, 20252 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
✔ NPI 1629861091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
188 HUCKLEBERRY LN, Florence, OR 97439
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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

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 Mental Wellness Psychiatry's NPI number?

The NPI number for Mental Wellness Psychiatry is 1629861091. It was assigned to this organization in the NPPES registry on May 27, 2025.

Where is Mental Wellness Psychiatry located?

Mental Wellness Psychiatry is located at 188 Huckleberry Ln, Florence, OR 97439. The listed phone number is (541) 725-2565.

What is Mental Wellness Psychiatry'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 Mental Wellness Psychiatry was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.