Organization Active NPI

Center for Functional Medicine & Wellbeing LLC

Doing business as Center for Wellbeing

  • Public Health & General Preventive Medicine Physician
  • Portsmouth, NH
National Provider Identifier
1336764026
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
CENTER FOR FUNCTIONAL MEDICINE & WELLBEING LLC
Doing business as
Center for Wellbeing
Practice address
3201 Lafayette Rd
Portsmouth, NH 03801-6078
Phone
(603) 380-9159
NPI assigned
Jun 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Dr. Jeffrey Donatello, DO
Title
Owner
Phone
(207) 451-7438

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

3201 Lafayette Rd
Portsmouth, NH 03801-6078

Mailing address

3201 Lafayette Rd
Portsmouth, NH 03801-6078
Phone (603) 380-9159

Other names 1

  • Center for Wellbeing Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@centerforwell.com Direct

National Provider Directory

National Provider Directory

Locations

3201 Lafayette Rd
Portsmouth, NH 03801
Phone (603) 380-9159

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1336764026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 LAFAYETTE RD",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038016078",
            "telephone_number": "603-380-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 LAFAYETTE RD",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038016078",
            "telephone_number": "603-380-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FUNCTIONAL MEDICINE & WELLBEING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "DONATELLO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-451-7438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@centerforwell.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3201 Lafayette Rd",
            "city": "Portsmouth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038016078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Center for Wellbeing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.