Active NPIOrganization

Mac Mental & Physical Wellness LLC

Nurse Practitioner, Family in East Berlin, Connecticut

NPI Number1659297448
Practice location
1224 Mill Street, Building B Ste 224, East Berlin, CT 06023-1164
Fax
—
Last updated
June 25, 2026

Mac Mental & Physical Wellness LLC is a healthcare organization based in East Berlin, CT. Mac Mental & Physical Wellness LLC practices in East Berlin, CT. The NPI Number for Mac Mental & Physical Wellness LLC is 1659297448. The current practice location address for Mac Mental & Physical Wellness LLC is 1224 Mill Street, Building B Ste 224, East Berlin, CT 06023-1164 and can be reached out via phone at 860-704-9052.

Provider Profile Details

NPI Number
1659297448
Provider Name
Mac Mental & Physical Wellness LLC
Provider Entity Type
Organization
Address
1224 Mill Street, Building B Ste 224, East Berlin, CT 06023-1164
Phone Number
860-704-9052
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Organization Subpart
No
Authorized Official
Mona Chiurillo · Owner · 860-704-9052
Provider Enumeration Date
June 25, 2026
Last Update Date
June 25, 2026
Certification Date
June 25, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1224 Mill Street
Building B Ste 224
East Berlin, CT 06023-1164
Zip
06023-1164
Phone Number
860-704-9052
East Berlin, CT 06023Get directions →

Provider Business Mailing Address Details

Address
1224 Mill Street
Building B Ste 224
East Berlin, CT 06023-1164
City
East Berlin
State
CT
Zip
06023-1164
Phone Number
860-704-9052

License Information

Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mac Mental & Physical Wellness LLC?

The NPI number of Mac Mental & Physical Wellness LLC is 1659297448. It was assigned on June 25, 2026 and is currently active in the NPPES registry.

What is the specialty of Mac Mental & Physical Wellness LLC?

Mac Mental & Physical Wellness LLC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X).

Where does Mac Mental & Physical Wellness LLC practice?

The practice location is 1224 Mill Street, Building B Ste 224, East Berlin, CT 06023-1164. The office can be reached at 860-704-9052 (phone).

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 1659297448 directly on the NPPES registry website.

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