Individual provider Active NPI

Alexis Meytin

  • Social Worker
  • Greenwich, CT
National Provider Identifier
1033698311
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6224 Issued in CT
Practice address
7 Lincoln Ave
Greenwich, CT 06830-5794
Phone
(516) 749-8669
NPI assigned
Aug 8, 2018
Last updated
Jul 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Social Worker 104100000X 6224 CT Primary

Addresses

Primary practice location

7 Lincoln Ave
Greenwich, CT 06830-5794

Mailing address

7 Lincoln Ave
Greenwich, CT 06830-5794
Phone (516) 749-8669

Other practice location 1

950 S Oyster Bay Rd
Hicksville, NY 11801-3510
Phone (516) 822-6111 ext. 2245

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address a.meytin@backcountrywellness.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Backcountry Wellness LLC CurrentSince Jul 31, 2022 Accepting new patients
Backcountry Wellness LLC PastSince Jul 31, 2022 Accepting new patients

Locations

7 Lincoln Ave
Greenwich, CT 06830
Phone (203) 992-1700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1033698311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LINCOLN AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305794",
            "telephone_number": "516-749-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LINCOLN AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305794",
            "telephone_number": "516-749-8669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 S Oyster Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118013510",
            "country_code": "US",
            "telephone_number": "516-822-6111 x2245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYTIN",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "6224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "a.meytin@backcountrywellness.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "7 Lincoln Ave",
            "city": "Greenwich",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068305794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.