Perennial Wellness PLLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

PERENNIAL WELLNESS PLLC

Practice address

250 Post Rd E Ste 106
Westport, CT 06880-3616

Phone

(617) 462-1910

NPI assigned

May 26, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Emma Levine, PHD

Title

Licensed Psychologist

Phone

(617) 462-1910

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Emma Dawn Fialkov, M.S.ED

  • Psychologist
  • New York, NY
  • NPI 1598185852
  NPD

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1164045100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LITTLE FOX LN",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973222",
            "telephone_number": "617-462-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 POST RD E STE 106",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803616",
            "telephone_number": "617-462-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERENNIAL WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-462-1910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary John Pearson, LMFT
• Pamela Sue Peckheiser, M.A.
• Samantha Penman, BCBA
• Tracy Pennoyer
• Salvatore Penta
• Performance Health Care Management
• Performance Physical Therapy of CT
• Performance Physical Therapy of Hamden LLC
• Performance Physical Therapy of Westport LLC
• Peter Perimenis, PHARMD, RPH

• Counseling Psychologist in Westport, CT
• Providers in Westport, CT by specialty
• Counseling Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.