Organization Active NPI

Resonant Capital LLC

  • Health Service Clinic/Center
  • Groton, CT
National Provider Identifier
1346812344
Registry record updated Jul 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
RESONANT CAPITAL LLC
Doing business as
Alpha Wellness
Practice address
1 E Shore Ave
Groton, CT 06340-8837
Phone
(860) 333-7654
NPI assigned
Jul 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2021

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

Authorized official

Name
Blake Edwards
Title
Chief Executive Officer
Phone
(860) 333-7654

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X
Genetics Clinic/Center 261QG0250X
Health Service Clinic/Center 261QH0100X Primary
Research Clinic/Center 261QR1100X
Student Health Clinic/Center 261QS1000X

Addresses

Primary practice location

1 E Shore Ave
Groton, CT 06340-8837

Mailing address

1 E Shore Ave
Groton, CT 06340-8837
Phone (860) 333-7654

Other names 1

  • Alpha Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625961600000",
    "number": "1346812344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E SHORE AVE",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063408837",
            "telephone_number": "860-333-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E SHORE AVE",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063408837",
            "telephone_number": "860-333-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESONANT CAPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-11",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "860-333-7654"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; 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.