NPIMap

Organization Active NPI

Heal Yourself, Inc

  • Naturopath
  • Clinton, CT
National Provider Identifier
1407253404
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000520 Issued in CT
Legal business name
HEAL YOURSELF, INC
Practice address
10 Hemlock Hill Rd
Clinton, CT 06413-1108
Phone
(860) 664-3651
NPI assigned
Nov 20, 2014
Last updated
Nov 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Tamara Alexandrovna Potselueva, NDNPI 1699172692
Title
Vice President
Phone
(860) 664-3651

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
Naturopath 175F00000X 000520 CT Primary

Addresses

Primary practice location

10 Hemlock Hill Rd
Clinton, CT 06413-1108

Mailing address

10 Hemlock Hill Rd
Clinton, CT 06413-1108
Phone (860) 664-3651

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": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1407253404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HEMLOCK HILL RD",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064131108",
            "telephone_number": "860-664-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HEMLOCK HILL RD",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064131108",
            "telephone_number": "860-664-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL YOURSELF, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "POTSELUEVA",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "ALEXANDROVNA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "860-664-3651",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.