Wellmindzpsychotherapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7685 Issued in CT

Legal business name

WELLMINDZPSYCHOTHERAPY LLC

Practice address

157 Church St FL 19
New Haven, CT 06510-2100

Phone

(203) 253-4976

NPI assigned

Jun 15, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Marlene Desantis, LCSW, LADC

Title

Owner

Phone

(203) 253-4976

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1073963559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 CHURCH ST FL 19",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102100",
            "telephone_number": "203-253-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CHURCH ST FL 19",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102100",
            "telephone_number": "203-253-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMINDZPSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "DESANTIS",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-253-4976",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "7685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Rose Welch
• Stephen Paul Welch, PA-C
• Cynthia M Welchek, RPH, MS
• David S Well, M.D.
• Chevaughn Donna-Marie Wellington
• Wellness Haven LLC
• Nicholas Graeme Melby Wells
• Tiffani Wells, MFT
• Chelsea Welsh, PHARMD
• Christina Barbara Welte-Lake, LCSW

• Clinical Social Worker in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.