WELLSPRING PSYCHOLOGY PC
NPI 1841655545
Psychologist - Clinical in Los Gatos, CA
About Wellspring Psychology Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLSPRING PSYCHOLOGY PC (NPI 1841655545), doing business as Wellspring Psychology, is a healthcare organization registered as a clinical in Los Gatos, California and active in the NPI registry since December 2015. The organization lists Richard Joshua Maddox, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wellspring Psychology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Wellspring Psychology PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wellspring Psychology PC's NPI number?
The NPI number for Wellspring Psychology PC is 1841655545. It was assigned to this organization in the NPPES registry on December 22, 2015. The provider was formerly known as Wellspring Psychology.
Where is Wellspring Psychology PC located?
Wellspring Psychology PC is located at 475 Alberto Way Ste 180, Los Gatos, CA 95032. The listed phone number is (408) 357-4102.
What is Wellspring Psychology PC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Wellspring Psychology PC enrolled in Medicare?
Yes. Wellspring Psychology PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wellspring Psychology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Wellspring Psychology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wellspring Psychology PC was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Wellspring Psychology Pc · NPI 1841655545
Clinical organization in Los Gatos, California. Organization record, active in the CMS NPPES registry since December 22, 2015.
## Identity
- **NPI:** 1841655545 (Entity type: Organization)
- **Enumerated:** December 22, 2015
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Richard Maddox, PRESIDENT
## Practice location
- **Address:** 475 ALBERTO WAY STE 180, Los Gatos, CA 95032-5481
- **Phone:** (408) 357-4102 · **Fax:** (408) 550-1879
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Clinical Psychologist) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1841655545) · Data from the CMS NPPES public registry.