DR. GWENN ROSENBERG (NPI# 1093067019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093067019 |
| Entity Type | Individual |
| Full Name | DR. GWENN ROSENBERG |
| Other Name | GWENN ROSENBERG WILDMAN |
| Credential | ND |
| Practice Address |
154 Hempstead St First Floor New London CT 06320 |
| Mailing Address |
16 Riverview Pl Quaker Hill CT 06375 |
| Practice Telephone | 8606501030 |
| Practice Fax Number | 8558694891 |
| Mailing Telephone | 5037581878 |
| Mailing Fax Number | 8558694891 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2019-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 000486 | CT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CAQH | 12446377 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 S Anguilla Rd Ste 5, Pawcatuck, CT 063791447 | 8606501030 | 8558694891 |
| 3 Wildwood Medical Ctr, Essex, CT 06426 | 8606614662 | 8606614654 |
| Street Address |
154 HEMPSTEAD ST FIRST FLOOR |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598862153 | Judith Fabricant | Marriage & Family Therapist | 154 Hempstead St, New London, CT 06320-5638 | 2006-09-17 |
| 1780291260 | Roger G. Marinelli IIi | Marriage & Family Therapist | 154 Hempstead St, New London, CT 06320-5638 | 2020-09-28 |
| 1972914984 | Ryan Martin | Counselor | 154 Hempstead St, New London, CT 06320-5638 | 2014-05-13 |
| 1205174588 | Reginald Harris | Marriage & Family Therapist | 154 Hempstead St, New London, CT 06320-5638 | 2013-01-22 |
| 1740550987 | Michael J Alger | Counselor | 154 Hempstead St, New London, CT 06320-5638 | 2012-01-05 |
| 1528335445 | Susan Marie Bainbridge | Counselor | 154 Hempstead St, 1st Floor, New London, CT 06320-5638 | 2011-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871838151 | Gillian V. Martlew | Naturopath | 133 Newport Rd, New London, NH 03257-5415 | 2012-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152247 | Sarah Daglis | Naturopath | 126 Pershing Ave, New Britain, CT 06053-3551 | 2020-10-22 |
| 1427655422 | Tara Tranguch | Naturopath | 74 Main Street North, Bldg 2 - Apt 204, Woodbury, CT 06798 | 2020-10-03 |
| 1609482306 | Jessica Amelia Samaroo | Naturopath | 1700 Broadbridge Ave Unit C37, Stratford, CT 06614-5424 | 2020-09-17 |
| 1962016196 | Sarah Y Schindler | Naturopath | 12b Pasco Dr, East Windsor, CT 06088 | 2020-09-04 |
| 1225641632 | Brian Joseph Uss | Naturopath | 175 Rennell Dr, Southport, CT 06890-1491 | 2020-08-25 |
| 1568098861 | Jennah Bakke | Naturopath | 102 Norwich Rd, Salem, CT 06420-4001 | 2020-03-18 |
| 1649805730 | Emmeline Duong | Naturopath | 78 Olive St Apt 410, New Haven, CT 06511-6986 | 2020-03-09 |
| 1477185908 | Lisa Rose Trofa | Naturopath | 3 Hollyhock Rd Ste 2a, Wilton, CT 06897-4443 | 2020-02-12 |
| 1750922688 | Darisa Espinal | Naturopath | 75 Berlin Rd Ste 114, Cromwell, CT 06416-2633 | 2019-10-02 |
| 1629638267 | Dr Amanda Placeres LLC | Naturopath | 53 Bank St, New Milford, CT 06776-6708 | 2019-06-17 |
| Find all providers with the same taxonomy | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
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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.