Organization Active NPI

Seidell Health & Wellness LLC

  • Clinic/Center
  • Bethel, CT
National Provider Identifier
1154112712
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SEIDELL HEALTH & WELLNESS LLC
Practice address
6 Galloping Hill Rd
Bethel, CT 06801-1658
Phone
(914) 384-9000
NPI assigned
May 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Christine Mary Seidell, FNPNPI 1639895626
Title
Family Nurse Practitioner
Phone
(914) 384-9000

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6 Galloping Hill Rd
Bethel, CT 06801-1658

Mailing address

6 Galloping Hill Rd
Bethel, CT 06801-1658
Phone (475) 256-1030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260317001277 CT Part B Supplier - Clinic/Group Practice 1052894193 Receives reassigned benefits from 1 practitioner
Practice locations: Bethel, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1154112712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GALLOPING HILL RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011658",
            "telephone_number": "475-256-1030",
            "fax_number": "203-724-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GALLOPING HILL RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011658",
            "telephone_number": "914-384-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEIDELL HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "SEIDELL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "914-384-9000",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.