NEW ROADS WELLNESS CENTER, LLC (NPI# 1578050605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578050605 |
| Entity Type | Organization |
| Organization Name | NEW ROADS WELLNESS CENTER, LLC |
| Other Organization Name | NEW ROADS WELLNESS CENTER, LLC |
| Practice Address |
2911 Dixwell Ave # B10 Hamden CT 06518-3195 |
| Mailing Address |
29 Country Hills Rd Hamden CT 06514-3217 |
| Practice Telephone | 2038217390 |
| Mailing Telephone | 7186694113 |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2018-04-14 |
| Authorized Official Name | CHARMAINE WALLEN (OWNER/MANAGER) |
| Authorized Official Telephone | 7186694113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| New Roads Wellness Center, LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | NEW ROADS WELLNESS CENTER, LLC | 2911 Dixwell Ave, B10, Hamden, CT 06518 |
| Street Address |
2911 DIXWELL AVE # B10 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-3195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082032 | Lynne Severance | Registered Nurse | 121 Highland Ave, Hamden, CT 06518 | 2018-05-03 |
| 1912446782 | Associates In Medical & Cosmetic Dermatology, PC | Dermatology | 9 Washington Avenue, Hamden, CT 06518 | 2017-02-14 |
| 1700338738 | The Lasik Vision Institute LLC | Clinic/Center | 2313 Whitney Avenue, Suite 1b, Hamden, CT 06518 | 2016-10-25 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1174751598 | Yetsa Adebodunde Tuakli-wosornu | Physical Medicine & Rehabilitation | 2080 Whitney Ave Ste 280, Hamden, CT 06518 | 2009-06-24 |
| 1619112133 | Priority Healthcare, LLC | Home Health | 12213 Town Walk Drive, Hamden, CT 06518 | 2008-12-12 |
| 1306095864 | Uttampal Singh | Dentist | 2832 Whitney Avenue- Advanced Orthodontics LLC, Suite- A, Hamden, CT 06518 | 2008-09-09 |
| 1790942100 | Wellcare of Connecticut, Inc. | Health Maintenance Organization | 2319 Whitney Avenue, 6th Floor, Hamden, CT 06518 | 2008-05-22 |
| 1720295165 | Susan Norkus | Specialist/Technologist | 275 Mt. Carmel Ave., Quinnipiac University, Hamden, CT 06518 | 2007-05-16 |
| 1447385620 | Fritz & Hawley Vision Center | Technician/Technologist | 2313 Whitney Ave, Suite 1d, Hamden, CT 06518 | 2007-02-21 |
| Find all providers in zip 06518 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046106 | Katherine Agel | Community/Behavioral Health | 380 Mather St Apt 4011, Hamden, CT 06514-3159 | 2020-09-08 |
| 1003467580 | A.s.c. Clinical, Coaching & Connections Services, LLC | Community/Behavioral Health | 14 Kelly Rd, Hamden, CT 06518-2022 | 2019-09-25 |
| 1184182917 | Boyhen Associates LLC | Community/Behavioral Health | 3208 Whitney Ave Ste 1a, Hamden, CT 06518-2158 | 2019-03-11 |
| 1760844088 | Best Choice Home Health Care Inc | Community/Behavioral Health | 1840 State Streetr, Hamden, CT 06517 | 2016-03-25 |
| 1699936450 | Edward Zumaeta | Community/Behavioral Health | 357 Pine Rock Ave, Hamden, CT 06514-4613 | 2008-06-24 |
| 1821648635 | Kristin Bonilla New Hope Counseling, LLC | Community/Behavioral Health | 3208 Whitney Ave, Hamden, CT 06518-2158 | 2019-09-13 |
| 1437566726 | P. Renee Alberino, L.L.C. | Community/Behavioral Health | 2405 Whitney Ave, Apt. # 408, Hamden, CT 06518-3235 | 2014-07-18 |
| 1316289531 | Jonathan Stern, M.s., L.p.c., L.a.d.c., Counseling and Psychotherapy S | Community/Behavioral Health | 2911 Dixwell Ave, Suite B-5, Hamden, CT 06518-3195 | 2013-03-26 |
| 1477852853 | Ct Healing Center | Community/Behavioral Health | 830 Sherman Ave, Hamden, CT 06514-1147 | 2011-03-24 |
| 1033421276 | Jm Enterprises, LLC | Community/Behavioral Health | 61 Hawthorne Ave, Hamden, CT 06517-1824 | 2010-07-03 |
| 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.