NPIMap

Organization Active NPI

Pronatural Wellness Group LLC

  • Naturopath
  • Berlin, CT
National Provider Identifier
1174297972
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
PRONATURAL WELLNESS GROUP LLC
Practice address
1265 Berlin Tpke Unit B
Berlin, CT 06037-3228
Phone
(860) 829-0707
NPI assigned
Aug 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Martin Opoku Gyamfi, NDNPI 1467944595
Title
Director
Phone
(860) 830-9796

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: 193200000X MULTI-SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

1265 Berlin Tpke Unit B
Berlin, CT 06037-3228

Mailing address

1265 Berlin Tpke Unit B
Berlin, CT 06037-3228
Phone (860) 829-0707

National Provider Directory

National Provider Directory

Locations

1265 Berlin Tpke
Unit B
Berlin, CT 06037
Phone (860) 829-0707

Practitioners & affiliated clinicians

Practitioners 3

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": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1174297972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 BERLIN TPKE UNIT B",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060373228",
            "telephone_number": "860-829-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 BERLIN TPKE UNIT B",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060373228",
            "telephone_number": "860-829-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRONATURAL WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "OPOKU GYAMFI",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-830-9796",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.