Indigo Wellness Group LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

INDIGO WELLNESS GROUP LLC

Practice address

144 Morgan St Ste 1
Stamford, CT 06905-5433

Phone

(203) 658-7850

NPI assigned

Feb 13, 2020

Organization subpart

No

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

Authorized official

Name

Sarah Swanberg, LACNPI 1942680111

Title

Owner/ Acupuncturist

Phone

(203) 658-7850

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Fairfield Family Acupuncture LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah W Swanberg, L.AC.

  • Acupuncturist
  • Stamford, CT
  • NPI 1942680111
  NPD Authorized official

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1033742481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 GLENBROOK RD STE 300",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069028402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MORGAN ST STE 1",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055433",
            "telephone_number": "203-658-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "SWANBERG",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/ ACUPUNCTURIST",
        "authorized_official_telephone_number": "203-658-7850",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679808455",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942680111",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfield Family Acupuncture LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Acupuncturist in Stamford, CT
• Providers in Stamford, CT by specialty
• Acupuncturist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.