Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wellstar, Inc

Organization Clinical Psychologist · NPI 1477070605

Wellstar, Inc is a Clinical Psychologist in Jacksonville, Florida. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4217 Baymeadows Rd Ste 2
Jacksonville, FL 32217-4676
Phone: (904) 332-7431
Fax: (904) 332-7408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1477070605
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendy Lu — Credentialing Manager · (904) 221-2535
NPI enumeratedAugust 28, 2017
Last updated in NPPESAugust 28, 2017
Mailing address4217 Baymeadows Rd Ste 2, Jacksonville, FL 32217-4676

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