Organization Active NPI

Collaborative Natural Health Partners, LLC

  • Family Medicine Physician
  • Manchester, CT
National Provider Identifier
1396267126
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COLLABORATIVE NATURAL HEALTH PARTNERS, LLC
Practice address
315 E Center St
Manchester, CT 06040-5251
Phone
(860) 533-0179
Fax
(866) 603-4163
NPI assigned
Jul 13, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Lauren Young, NDNPI 1639330335
Title
Clinic Director
Phone
(860) 533-0179

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

315 E Center St
Manchester, CT 06040-5251

Mailing address

315 E Center St
Manchester, CT 06040-5251
Phone (860) 533-0179

Other practice location 1

106 Route CT-66
Columbia, CT 06237
Phone (860) 533-0179

Other practice location 2

173 Oakwood Ave
West Hartford, CT 06119-2141
Phone (860) 533-0179

Other practice location 3

107 Wilcox Rd Ste 103
Stonington, CT 06378-2614
Phone (860) 533-0179

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251217002430 CT Part B Supplier - Clinic/Group Practice 4688169683 Receives reassigned benefits from 5 practitioners
Practice locations: Manchester, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2224812Collaborative Natural Health Partners, LLC315 East Center St, Manchester, CT 06040Certificate of waiverMay 16, 2027

National Provider Directory

National Provider Directory

Locations

106 Route 66 E
Columbia, CT 06237
Phone (860) 228-0194

85 North St
Unit 7
Danbury, CT 06810
Phone (203) 792-5982

71 East Ave
Ste A
Norwalk, CT 06851
Phone (203) 838-5322

107 Wilcox Rd
Ste 103
Stonington, CT 06378
Phone (860) 533-0179

244 Farms Village Rd
Ste L
West Simsbury, CT 06092

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396267126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405251",
            "telephone_number": "860-533-0179",
            "fax_number": "866-603-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405251",
            "telephone_number": "860-533-0179",
            "fax_number": "866-603-4163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Route CT-66",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "CT",
            "postal_code": "06237",
            "country_code": "US",
            "telephone_number": "860-533-0179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "173 Oakwood Ave",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061192141",
            "country_code": "US",
            "telephone_number": "860-533-0179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Wilcox Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Stonington",
            "state": "CT",
            "postal_code": "063782614",
            "country_code": "US",
            "telephone_number": "860-533-0179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLLABORATIVE NATURAL HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "860-533-0179",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.