Organization Active NPI

The Herbal Room, LLC

  • Naturopath
  • Wethersfield, CT
National Provider Identifier
1154770253
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000567 Issued in CT
Legal business name
THE HERBAL ROOM, LLC
Practice address
135 Main St
Wethersfield, CT 06109-3125
Phone
(860) 257-7210
NPI assigned
Jun 9, 2016
Last updated
Jun 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Dr. Antonio Reale, N.D.NPI 1508211335
Title
Naturopathic Physician/Owner
Phone
(860) 748-6624

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
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X 000567 CT Primary

Addresses

Primary practice location

135 Main St
Wethersfield, CT 06109-3125

Mailing address

135 Main St
Wethersfield, CT 06109-3125
Phone (860) 257-7210

National Provider Directory

National Provider Directory

Locations

135 Main St
Wethersfield, CT 06109
Phone (860) 257-7210

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": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1154770253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MAIN ST",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093125",
            "telephone_number": "860-257-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MAIN ST",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093125",
            "telephone_number": "860-257-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HERBAL ROOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "REALE",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "NATUROPATHIC PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "860-748-6624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.