NEW ROAD WELLNESS, LLC


Address: 85 Wall St Fl 1, Madison, CT 06443-3121
Phone: 2033186484

NEW ROAD WELLNESS, LLC (NPI# 1992360143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992360143
Entity Type Organization
Organization Name NEW ROAD WELLNESS, LLC
Practice Address 85 Wall St Fl 1
Madison
CT 06443-3121
Mailing Address 24 W Main St Ste 357
Clinton
CT 06413-2053
Practice Telephone 2033186484
Practice Fax Number 2033186484
Enumeration Date 2019-05-03
Last Update Date 2019-05-06
Authorized Official Name THERESA LAGGIS (OWNER)
Authorized Official Telephone 8602275725
Authorized Official Credential PMHNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT PMHNP-BC 1376081570 01

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations New Road Wellness, LLC 85 Wall Street, Madison, CT 06443

Office Location

Street Address 85 WALL ST FL 1
City MADISON
State CT
Zip Code 06443-3121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376081570 Theresa Laggis Nurse Practitioner 85 Wall St Fl 1, Madison, CT 06443-3121 2017-02-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194127506 Heather R. Clinton Social Worker 847 West Main Street, Suite 3, Branford, CT 06443 2014-09-17
1477973378 Katrina Louise Furey Psychiatry & Neurology 147 Durham Rd Ste 12a-ne, Madison, CT 06443 2014-04-18
1972920114 Elizabeth Laberee Internal Medicine 80 Devonshire Lane, Madison, CT 06443 2014-03-26
1588007314 Avery Grauer Psychiatry & Neurology 175 Copse Road, Madison, CT 06443 2013-04-11
1295077790 Gordon Seth Cohen Pathology 3 Silo Hill Road, Madison, CT 06443 2013-03-22
1073750493 Darlene F. Talavera Occupational Therapist 22 Overshore Drive, Madison, CT 06443 2009-01-08
1013182518 Susan Jean Isaac Social Worker 105 Winding Road, Unit 2, Madison, CT 06443 2008-04-25
1083893606 Kornelia Keszler, Md, PC Internal Medicine 1-b Meigswood Ave, Madison, CT 06443 2007-10-31
1811181126 Traci Marando Nurse Practitioner 20 Madrina Lane, Madison, CT 06443 2007-08-29
1790803419 Linda L. Young Social Worker 2 Samson Rock Drive, Unit 2g, Madison, CT 06443 2007-03-27
Find all providers in zip 06443

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407402795 Martha Rainey Daniels Nurse Practitioner 509 Highleadon Cv, Madison, MS 39110-7465 2019-08-13
1376081570 Theresa Laggis Nurse Practitioner 85 Wall St Fl 1, Madison, CT 06443-3121 2017-02-08
1235500489 Shawn Brady Nurse Practitioner 510 Hospital Dr Ste 260, Madison, TN 37115-5027 2015-10-14
1598045197 Susan Ann Flannigan Nurse Practitioner 16 Tuxis Rd, Madison, CT 06443-3026 2011-08-26
1811181126 Traci Marando Nurse Practitioner 20 Madrina Lane, Madison, CT 06443 2007-08-29
1316926553 Sue St Clair Nurse Practitioner 620 Gallatin Pike S, Suite 214, Madison, TN 37115-4013 2006-01-16
1427039353 Amy Jean Miller Nurse Practitioner 2727 Marshall Ct, Madison, WI 53705-2255 2005-11-08
1710510680 The Gaetani Center Nurse Practitioner 71 Bradley Rd Unit 6, Madison, CT 06443-2662 2020-02-19
1851922322 Joy Elizabeth Robinson Nurse Practitioner 223 Madison St Ste 103, Madison, TN 37115-3660 2020-02-03
1174161749 Heather Greer Nurse Practitioner 510 Hospital Dr Ste 260, Madison, TN 37115-5027 2019-12-13
Find all providers in MADISON

Competitor

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City MADISON
Zip Code 06443

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Dataset Information

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.

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