Active NPI
Behavioral Wellness Partners, LLC
- Psychiatry Physician
- Stamford, CT
National Provider Identifier
1245848670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- BEHAVIORAL WELLNESS PARTNERS, LLC
- Practice address
- 25 Davenport Farm LN E
Stamford, CT 06903-5141 - Phone
- (203) 687-0464
- NPI assigned
- Jul 22, 2020
- 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
- Carissa Tufano
- Title
- Aprn
- Phone
- (203) 687-0464
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
25 Davenport Farm LN E
Stamford, CT 06903-5141
Mailing address
PO Box 665
Stamford, CT 06904
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255382396 | Other | CT | GROUP NPI |
| 1245848670 | Other | CT | GROUP NPI |
National Provider Directory
National Provider DirectoryLocations
167 Cherry St
Milford, CT 06460
Phone (203) 893-5394
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Avon, CT
- NPI 1760639819
-
- Psychiatry Physician
- Fairfield, CT
- NPI 1255382396
-
- Nurse Practitioner
- Greenwich, CT
- NPI 1922374354
-
- Clinical Social Worker
- Meriden, CT
- NPI 1972264158
-
- Psychiatric/Mental Health Nurse Practitioner
- Torrington, CT
- NPI 1508472259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655251200000",
"number": "1245848670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 665",
"city": "STAMFORD",
"state": "CT",
"postal_code": "06904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 DAVENPORT FARM LN E",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069035141",
"telephone_number": "203-687-0464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL WELLNESS PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-22",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A",
"authorized_official_last_name": "TUFANO",
"authorized_official_first_name": "CARISSA",
"authorized_official_title_or_position": "APRN",
"authorized_official_telephone_number": "203-687-0464"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1255382396",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1245848670",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.