SOULITUDES LLC (NPI# 1578885083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578885083 |
| Entity Type | Organization |
| Organization Name | SOULITUDES LLC |
| Other Organization Name | SOULITUDES WELLNESS CENTER |
| Practice Address |
1387 Fairport Rd Building 500 Suite 520 Fairport NY 14450-2003 |
| Practice Telephone | 5853771990 |
| Practice Fax Number | 5853771997 |
| Mailing Telephone | 5853771990 |
| Mailing Fax Number | 5853771997 |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |
| Authorized Official Name | DR. BONNIE CHUDYK (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5853771990 |
| Authorized Official Credential | N.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
3375951 | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SOULITUDES Wellness Center | Other Name - Individual/Organization |
| Street Address |
1387 FAIRPORT RD BUILDING 500 SUITE 520 |
| City | FAIRPORT |
| State | NY |
| Zip Code | 14450-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235190521 | Christopher R. Galbreath | Psychiatry & Neurology | 1387 Fairport Rd, Suite 580, Fairport, NY 14450-2003 | 2006-03-28 |
| 1871113951 | Mary Klimek | Speech-Language Pathologist | 1387 Fairport Rd, Fairport, NY 14450-2003 | 2020-04-20 |
| 1629543723 | Emily Katherine Robinson | Occupational Therapist | 1387 Fairport Rd, Fairport, NY 14450-2003 | 2018-10-04 |
| 1750831517 | Rachel Fisher | Social Worker | 1387 Fairport Rd, Suite 540, Fairport, NY 14450-2003 | 2016-10-05 |
| 1306295704 | Alexandra A Wilkosz | Social Worker | 1387 Fairport Rd, Suite 1000d, Fairport, NY 14450-2003 | 2016-06-07 |
| 1104291574 | Stephanie Wagner | Speech-Language Pathologist | 1387 Fairport Rd, Fairport, NY 14450-2003 | 2015-12-09 |
| 1609240654 | Marissa Ross | Counselor | 1387 Fairport Rd, Fairport, NY 14450-2003 | 2015-11-13 |
| 1043681760 | Alexandra Claflin | Physical Therapist | 1387 Fairport Rd, Building 1100, Fairport, NY 14450-2003 | 2015-10-08 |
| 1255681201 | Douglas Stuart Mciver | Acupuncturist | 1387 Fairport Rd, Building 500, Suite 520, Fairport, NY 14450-2003 | 2012-09-18 |
| 1659696771 | Philip John Derleth | Student in an Organized Health Care Education/Training Program | 1387 Fairport Rd, Suite 640, Fairport, NY 14450-2003 | 2010-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255899 | Stephanie Janet Catlin-rakoski | Counselor | 1387 Fairport Rd Bldg 500, Ste 540, Fairport, NY 14450 | 2019-09-23 |
| 1477011773 | Meredith Noel Austin-appleton | Pediatrics | Pediatric Urgent Care of Rochester, 6687 Pittsford Palmyra Rd, Fairport, NY 14450 | 2019-03-05 |
| 1659852358 | Linda Demme | Registered Nurse | 29 Pleasant St, Fairport, NY 14450 | 2018-08-22 |
| 1679075154 | Tharaha Thavakumar | Behavior Technician | 6 N. Main Street, Fairport, NY 14450 | 2018-03-01 |
| 1295244309 | Comprehensive Medicine, Pllc | Psychiatry & Neurology | 762 Crosskeys Office Park, Fairport, NY 14450 | 2017-09-21 |
| 1104353846 | Courtney Chapman | Student in an Organized Health Care Education/Training Program | 4 Valais Ct, Fairport, NY 14450 | 2017-05-12 |
| 1477947786 | Preston Orthodontics, Pllc | Dentist | 2154 Fairport Nine Mile Point Road, Fairport, NY 14450 | 2015-03-25 |
| 1154724334 | Amanda Corrisa Kalsih | Registered Nurse | 95 Evergreen Circle, Fairport, NY 14450 | 2014-10-02 |
| 1295172153 | Pamela Lea Alexander | Skilled Nursing Facility | 41 O,connor Road, Monroe #1 Boces, Fairport, NY 14450 | 2013-05-31 |
| 1255682084 | Lauren Lashomb | Specialist | 6 North Main Street, Fairport, NY 14450 | 2012-09-19 |
| Find all providers in zip 14450 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1821560848 | Carfora Medical Health Wellness Pllc | Clinic/Center | 412 N Country Rd Ste 10, Saint James, NY 11780-1761 | 2019-01-02 |
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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.