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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@centerforwell.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.