NPIMap

Organization Active NPI

Corebella Health LLC

  • Naturopath
  • Waterbury, CT
National Provider Identifier
1134575509
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
6917 Issued in CT
Legal business name
COREBELLA HEALTH LLC
Practice address
417 Highland Ave Ste 2
Waterbury, CT 06708-3454
Phone
(203) 757-9336
Fax
(888) 532-1877
NPI assigned
May 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Marcos Malli De EscobarNPI 1053331462
Title
Owner
Phone
(203) 757-9336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175F00000X 6917 CT Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

417 Highland Ave Ste 2
Waterbury, CT 06708-3454

Mailing address

417 Highland Ave Ste 2
Waterbury, CT 06708-3454
Phone (203) 757-9336

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1134575509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 HIGHLAND AVE STE 2",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083454",
            "telephone_number": "203-757-9336",
            "fax_number": "888-532-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 HIGHLAND AVE STE 2",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083454",
            "telephone_number": "203-757-9336",
            "fax_number": "888-532-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREBELLA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "DE ESCOBAR",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_middle_name": "MALLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-757-9336"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "CT",
            "license": "6917",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.