Organization Active NPI

Eclectic Naturopathic Medical Center, LLC

  • Naturopath
  • Newington, CT
National Provider Identifier
1063537850
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000079 Issued in CT
Legal business name
ECLECTIC NATUROPATHIC MEDICAL CENTER, LLC
Practice address
2434 Berlin Tpke
Suite 18
Newington, CT 06111-4121
Phone
(860) 665-1254
Fax
(860) 665-7135
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kathleen M Riley, N.D.NPI 1881974863
Title
Naturopathic Physican
Phone
(860) 665-1254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 000079 CT Primary

Addresses

Primary practice location

2434 Berlin Tpke
Suite 18
Newington, CT 06111-4121

Mailing address

2434 Berlin Turnpike
Suite 18
Newington, CT 06111
Phone (860) 665-1254

National Provider Directory

National Provider Directory

Locations

2434 Berlin Tpke
Ste 18
Newington, CT 06111
Phone (860) 665-1254

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063537850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 BERLIN TURNPIKE",
            "address_2": "SUITE 18",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "06111",
            "telephone_number": "860-665-1254",
            "fax_number": "860-665-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 BERLIN TPKE",
            "address_2": "SUITE 18",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114121",
            "telephone_number": "860-665-1254",
            "fax_number": "860-665-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLECTIC NATUROPATHIC MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NATUROPATHIC PHYSICAN",
        "authorized_official_telephone_number": "860-665-1254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.