OrganizationActive
Wellstar, Inc
NPI 1477070605 · Clinical Psychologist · Jacksonville, FL
Wellstar, Inc is a Clinical Psychologist organization in Jacksonville, FL (NPI 1477070605).
Provider details
- NPI number
- 1477070605
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Wendy Lu, Credentialing Manager(904) 221-2535
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4217 Baymeadows Rd Ste 2
Jacksonville, FL 32217-4676
Phone: (904) 332-7431
Fax: (904) 332-7408
Street-level locationGet directions
Mailing address
4217 Baymeadows Rd Ste 2
Jacksonville, FL 32217-4676
Registry dates
- Enumerated
- 2017-08-28
- Last updated
- 2017-08-28
Frequently asked questions
- What is Wellstar, Inc's NPI number?
- Wellstar, Inc's National Provider Identifier (NPI) is 1477070605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wellstar, Inc?
- Wellstar, Inc is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Wellstar, Inc located?
- Wellstar, Inc's practice location on file with NPPES is 4217 Baymeadows Rd Ste 2, Jacksonville, FL 32217-4676.
- What is Wellstar, Inc's phone number?
- The practice phone number listed in the NPPES registry for Wellstar, Inc is (904) 332-7431.
- Who is the authorized official for Wellstar, Inc?
- The authorized official listed on Wellstar, Inc's NPPES record is Wendy Lu, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wellstar, Inc's NPI active?
- Yes — Wellstar, Inc's NPI (1477070605) is active in the NPPES registry as of the last update on 2017-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.