Organization Active NPI

Women Family Health & Wellness LLC

  • Community/Behavioral Health Agency
  • North Haven, CT
National Provider Identifier
1386314888
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WOMEN FAMILY HEALTH & WELLNESS LLC
Practice address
10 Juniper Dr
North Haven, CT 06473-3509
Phone
(203) 500-6152
NPI assigned
Sep 15, 2021
Last updated
Sep 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Sursatie Chetram, PHDNPI 1235639444
Title
President
Phone
(203) 500-6152

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

10 Juniper Dr
North Haven, CT 06473-3509

Mailing address

PO Box 211
North Haven, CT 06473-0211
Phone (203) 500-6152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240422000438 CT Part B Supplier - Clinic/Group Practice 6709225998 Receives reassigned benefits from 1 practitioner
Practice locations: Vernon, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1386314888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064730211",
            "telephone_number": "203-500-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JUNIPER DR",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733509",
            "telephone_number": "203-500-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN FAMILY HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "CHETRAM",
        "authorized_official_first_name": "SURSATIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-500-6152",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.