Organization Active NPI

Tranquil Energy, LLC

  • Clinical Social Worker
  • Putnam, CT
National Provider Identifier
1174051882
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008597 Issued in CT
Legal business name
TRANQUIL ENERGY, LLC
Practice address
225 Providence Pike
Putnam, CT 06260-2526
Phone
(860) 420-9141
NPI assigned
May 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Authorized official

Name
Tanya AbramNPI 1861425084
Title
Clinician/Therapist
Phone
(860) 420-9141

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 008597 CT Primary

Addresses

Primary practice location

225 Providence Pike
Putnam, CT 06260-2526

Mailing address

328 Walnut St
Putnam, CT 06260-2702

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171211000169 CT Part B Supplier - Clinic/Group Practice 8224396726 Receives reassigned benefits from 1 practitioner
Practice locations: Putnam, 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, 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": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1174051882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 WALNUT ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062602702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PROVIDENCE PIKE",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062602526",
            "telephone_number": "860-420-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL ENERGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "ABRAM",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "CLINICIAN/THERAPIST",
        "authorized_official_telephone_number": "860-420-9141"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.