Provider Demographics
NPI:1811211741
Name:AMERICAN HEALTH AND WELLNESS INSTITUTE
Entity Type:Organization
Organization Name:AMERICAN HEALTH AND WELLNESS INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF CLINICAL MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHVIND
Authorized Official - Middle Name:N
Authorized Official - Last Name:ADKINS SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:562-375-0451
Mailing Address - Street 1:5580 E 2ND ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-3946
Mailing Address - Country:US
Mailing Address - Phone:562-375-0451
Mailing Address - Fax:562-433-5522
Practice Address - Street 1:5580 E 2ND ST
Practice Address - Street 2:SUITE 101
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-3946
Practice Address - Country:US
Practice Address - Phone:562-375-0451
Practice Address - Fax:562-433-5522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-22
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001495103K00000X, 103TB0200X, 103TC0700X, 103TM1800X
CA23144103K00000X, 103TB0200X, 103TC0700X, 103TM1800X
GAPSY003323103TB0200X, 103TC0700X
CA12861225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty