Organization Active NPI

Feel Well Health Center of Southington, PC

  • Non-Pharmacy Dispensing Site
  • Plantsville, CT
National Provider Identifier
1306103502
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
FEEL WELL HEALTH CENTER OF SOUTHINGTON, PC
Practice address
710 Main St
BLDG 4
Plantsville, CT 06479-1565
Phone
(860) 378-2892
NPI assigned
Apr 12, 2012
Organization subpart
Yes
Parent organization
FEEL WELL HEALTH CENTER OF SOUTHINGTON, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Dr. Kevin P Greene, MDNPI 1164498473
Title
President
Phone
(860) 378-2892

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
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

710 Main St
BLDG 4
Plantsville, CT 06479-1565

Mailing address

2980 N Beverly Glen Cir
Suite 100
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Part of
Feel Well Health Ctr of So

Practitioners & affiliated clinicians

Practitioners 1

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": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1306103502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MAIN ST",
            "address_2": "BLDG 4",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791565",
            "telephone_number": "860-378-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEEL WELL HEALTH CENTER OF SOUTHINGTON, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FEEL WELL HEALTH CENTER OF SOUTHINGTON, PC",
        "enumeration_date": "2012-04-12",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-378-2892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantsville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.