Integrated Wellness Group, LLC
Psychologist, Clinical Child & Adolescent in New Haven, Connecticut
1003096744- Practice location
- 446A Blake Street, Suite 200, New Haven, CT 06515-2216
- Phone
- 203-387-9400
- Fax
- 888-772-2160
- Last updated
- September 9, 2010
Integrated Wellness Group, LLC is a healthcare organization based in New Haven, CT. Integrated Wellness Group, LLC practices in New Haven, CT. The NPI Number for Integrated Wellness Group, LLC is 1003096744 and holds a License No. 001636 (CT). The current practice location address for Integrated Wellness Group, LLC is 446A Blake Street, Suite 200, New Haven, CT 06515-2216 and can be reached out via phone at 203-387-9400 and via fax at 888-772-2160.
Provider Profile Details
- NPI Number
- 1003096744
- Provider Name
- Integrated Wellness Group, LLC
- Provider Entity Type
- Organization
- Address
- 446A Blake Street, Suite 200, New Haven, CT 06515-2216
- Phone Number
- 203-387-9400
- Fax Number
- 888-772-2160
- Primary Taxonomy
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- Organization Subpart
- No
- Authorized Official
- Dr. Maysa Akbar, PHD · Executive Director · 203-387-9400
- Provider Enumeration Date
- November 9, 2007
- Last Update Date
- September 9, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 446A Blake Street
Suite 200
New Haven, CT 06515-2216 - City
- New Haven
- State
- Connecticut
- Zip
- 06515-2216
- Phone Number
- 203-387-9400
- Fax Number
- 888-772-2160
Provider Business Mailing Address Details
- Address
- 446A Blake St
Suite 200
New Haven, CT 06515-1286 - City
- New Haven
- State
- CT
- Zip
- 06515-1286
- Phone Number
- 203-387-9400
- Fax Number
- 888-772-2160
License Information
- Taxonomy (1)
- Marriage & Family Therapist · 106H00000X
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (3)
- 001636
- License State (3)
- CT
- Taxonomy (3)
- Counselor · 101Y00000X
- License Number (4)
- 006473
- License State (4)
- CT
- Taxonomy (4)
- Social Worker, Clinical · 1041C0700X
- License Number (5)
- 005442
- License State (5)
- CT
- Taxonomy (5)
- Social Worker, Clinical · 1041C0700X
- License Number (6)
- 002659
- License State (6)
- CT
- Taxonomy (6)
- Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical Child & Adolescent providers near New Haven, CT
View all Psychologist, Clinical Child & Adolescent providers in New Haven →- Denis G Sukhodolsky, PHDPsychologist, Clinical Child & Adolescent · NPI 1306962535
- Dr. Alice M Forrester, PHDPsychologist, Clinical Child & Adolescent · NPI 1083812440
- Dr. Brianna Brower, PHDPsychologist, Clinical Child & Adolescent · NPI 1174108781
- Dr. Christine Dauser, PSYDPsychologist, Clinical Child & Adolescent · NPI 1619100708
- Dr. Jodie M Ambrosino, PHDPsychologist, Clinical Child & Adolescent · NPI 1669670915
- Dr. Karim IbrahimPsychologist, Clinical Child & Adolescent · NPI 1083201511
Frequently Asked Questions
What is the NPI number of Integrated Wellness Group, LLC?
The NPI number of Integrated Wellness Group, LLC is 1003096744. It was assigned on November 9, 2007 and is currently active in the NPPES registry.
What is the specialty of Integrated Wellness Group, LLC?
Integrated Wellness Group, LLC is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in CT under license number 001636.
Where does Integrated Wellness Group, LLC practice?
The practice location is 446A Blake Street, Suite 200, New Haven, CT 06515-2216. The office can be reached at 203-387-9400 (phone) or 888-772-2160 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003096744 directly on the NPPES registry website.