Organization Active NPI

Cultivating Wellness LLC

  • Adolescent and Children Mental Health Clinic/Center
  • East Hartford, CT
National Provider Identifier
1386217206
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CULTIVATING WELLNESS LLC
Doing business as
Cultivating Wellness LLC
Practice address
112 Madison Street
East Hartford, CT 06118
Phone
(860) 530-7742
NPI assigned
Jul 19, 2021
Last updated
Aug 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Dr. Jessica Silva, PSY.D.
Title
Clinical Psychologist
Phone
(860) 530-7742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

112 Madison Street
East Hartford, CT 06118

Mailing address

112 Madison Street
East Hartford, CT 06118
Phone (860) 530-7742

Other names 1

  • Cultivating Wellness LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1386217206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MADISON STREET",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "06118",
            "telephone_number": "860-530-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MADISON STREET",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "06118",
            "telephone_number": "860-530-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATING WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "860-530-7742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cultivating Wellness LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cultivating Wellness LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.