SKG Wellness, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SKG WELLNESS, LLC

Practice address

169 Rawson Rd
Brookline, MA 02445-4404

Phone

(508) 740-0520

NPI assigned

Mar 29, 2022

Organization subpart

No

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

Authorized official

Name

Sarah Kilduff, LICSWNPI 1548775240

Title

Owner

Phone

(508) 740-0520

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sarah Elizabeth Kilduff

  • Mental Health Counselor
  • Charlestown, MA
  • NPI 1548775240
  NPD Authorized official

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1205576303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SHIRLEY ST APT 1-4",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521260",
            "telephone_number": "508-740-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 RAWSON RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454404",
            "telephone_number": "508-740-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKG WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "KILDUFF",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-740-0520",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sisu Boston Physical Therapy and Performance
• Kevin Situ, PT, DPT
• Gal Sivan, PSY.D.
• Melissa Skepko
• Christopher M Skevofilax, LMHC
• Skin Center Boston, PLLC
• Hillel D Skoff, M.D.
• Roman Slabsky, PSY.D.
• Kelly Anele Slattery
• Suzanne M. Slattery, PH.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brookline, MA
• Providers in Brookline, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.