WAVE INTEGRATIVE, LLC (NPI# 1003337759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003337759 |
| Entity Type | Organization |
| Organization Name | WAVE INTEGRATIVE, LLC |
| Practice Address |
1700 Dixwell Ave Ste 203 Hamden CT 06514-3147 |
| Mailing Address |
167 Cherry St Unit 325 Milford CT 06460-3466 |
| Practice Telephone | 8444685963 |
| Practice Fax Number | 8602630576 |
| Mailing Telephone | 2032608181 |
| Mailing Fax Number | 8602630576 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | KRISTA HEWLETT KEEGAN (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 2032608181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11 Woodland Rd Ste 200, Madison, CT 064432342 | 8444685963 | 8602630576 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WAVE INTEGRATIVE, LLC | 167 Cherry St, Unit 325, Milford, CT 06460 |
| Street Address |
1700 DIXWELL AVE STE 203 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06514-3147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063062339 | New Beginnings Behavioral Health LLC | Social Worker | 641 Gilbert Avenue, Hamden, CT 06514 | 2019-09-18 |
| 1376105767 | Mcangel Home Visiting Nurses LLC | Home Health | 1135 Sherman Ave., Hamden, CT 06514 | 2019-07-05 |
| 1467926139 | First Step Gentle Care Labor Doula Service | Doula | 20 Elliot Drive, Hamden, CT 06514 | 2019-01-16 |
| 1841781382 | Clifford W. Beers Guidance Clinic Inc | Clinic/Center | 41 Marne St, Hamden, CT 06514 | 2018-05-21 |
| 1023513272 | Ashley Nicole Miano | Behavioral Analyst | 60 Conway Parkway, Building 2b, Suite 110, Hamden, CT 06514 | 2018-03-29 |
| 1619485166 | Hlc Partners LLC | Clinic/Center | 39 Marme St, Hamden, CT 06514 | 2018-01-18 |
| 1851832752 | Kareise Caldwell | Counselor | 123 Pinerock, Hamden, CT 06514 | 2017-03-13 |
| 1417407255 | Tempestt S Latham | Dental Hygienist | 158 Pearl Ave, Hamden, CT 06514 | 2016-10-05 |
| 1679945356 | Carolina Nanetrivera Parrott | Social Worker | 180 Pine Rock Ave, Hamden, CT 06514 | 2015-10-21 |
| 1629446976 | Ebun Aderibole | Counselor | 823 Pine Rock Ave, Hamden, CT 06514 | 2015-09-03 |
| Find all providers in zip 06514 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938940 | Shirley Kuan | Internal Medicine | 20 Taft St, Hamden, CT 06514-3422 | 2020-10-06 |
| 1851709539 | Rita Adjei, M.d., PC | Internal Medicine | 25 Glen Ridge Rd, Hamden, CT 06518-5358 | 2014-07-26 |
| 1598038622 | Andrew John Laudano | Internal Medicine | 86 Carmalt Road, Hamden, CT 06517-1903 | 2012-02-21 |
| 1306136957 | Farhad Montazeri-lemraski | Internal Medicine | 1952 Whitney Ave Ste 8, Hamden, CT 06517-1209 | 2011-04-17 |
| 1841450657 | Ayesha Chaudhry | Internal Medicine | 1650 Dixwell Ave, Hamden, CT 06514-3615 | 2008-06-16 |
| 1386857357 | Mehdi Djekidel | Internal Medicine | 16 Oakwood Ln, Hamden, CT 06518-1153 | 2007-05-07 |
| 1396817961 | Dana Brock | Internal Medicine | 38 Orchard Ct, Hamden, CT 06517-2119 | 2006-11-15 |
| 1285706127 | Mt Carmel Medical Associates, LLP | Internal Medicine | 2690 Whitney Ave, Hamden, CT 06518-2924 | 2006-11-15 |
| 1417055211 | Robert Henry | Internal Medicine | 3588 Whitney Avenue, Hamden, CT 06518 | 2006-09-20 |
| 1043223555 | Prem George Thomas | Internal Medicine | 75 Augur St, Hamden, CT 06517-3440 | 2006-08-14 |
| Find all providers in HAMDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.