Organization Active NPI

Aim Well, LLC

  • Adult Mental Health Clinic/Center
  • Branford, CT
National Provider Identifier
1265672125
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
3150 Issued in CT
Legal business name
AIM WELL, LLC
Practice address
225 Montowese St
2ND Floor
Branford, CT 06405-3873
Phone
(203) 500-9590
NPI assigned
Mar 4, 2009
Last updated
Mar 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Ms. Kathleen M Walsh, APRN
Title
Owner, Member
Phone
(203) 500-9590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 3150 CT Primary

Addresses

Primary practice location

225 Montowese St
2ND Floor
Branford, CT 06405-3873

Mailing address

225 Montowese St
2ND Floor
Branford, CT 06405-3873
Phone (203) 500-9590

National Provider Directory

National Provider Directory

Locations

225 Montowese St
Ste 2
Branford, CT 06405
Phone (203) 500-9590

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1265672125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MONTOWESE ST",
            "address_2": "2ND FLOOR",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053873",
            "telephone_number": "203-500-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MONTOWESE ST",
            "address_2": "2ND FLOOR",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053873",
            "telephone_number": "203-500-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIM WELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, MEMBER",
        "authorized_official_telephone_number": "203-500-9590",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "3150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.