Active NPI
West Rock Wellness PLLC
- Psychiatry Physician
- New Haven, CT
National Provider Identifier
1225735939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- WEST ROCK WELLNESS PLLC
- Practice address
- 869 Whalley Ave
New Haven, CT 06515-1728 - Phone
- (203) 930-2995
- NPI assigned
- Feb 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jordan Sloshower, MD
- Title
- Co-Director
- Phone
- (203) 974-2693
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X |
Addresses
Primary practice location
869 Whalley Ave
New Haven, CT 06515-1728
Mailing address
869 Whalley Ave
New Haven, CT 06515-1728
Phone (203) 930-2995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
869 Whalley Ave
New Haven, CT 06515
Phone (203) 491-1652
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- West Haven, CT
- NPI 1326625047
-
- Psychiatry Physician
- New Haven, CT
- NPI 1841610664
-
- Clinical Psychologist
- New Haven, CT
- NPI 1285127639
-
- Mental Health Counselor
- New Haven, CT
- NPI 1235090101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676246400000",
"number": "1225735939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "869 WHALLEY AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065151728",
"telephone_number": "203-930-2995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "869 WHALLEY AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065151728",
"telephone_number": "203-930-2995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST ROCK WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A",
"authorized_official_last_name": "SLOSHOWER",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "CO-DIRECTOR",
"authorized_official_telephone_number": "203-974-2693",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.