Active NPI
Rise Therapy and Wellness, LLC
Doing business as Rise Wellness
- Family Psychologist
- Madison, CT
National Provider Identifier
1407490154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- Legal business name
- RISE THERAPY AND WELLNESS, LLC
- Doing business as
- Rise Wellness
- Practice address
- 786 Boston Post Rd
Madison, CT 06443-3036 - Phone
- (203) 350-0700
- NPI assigned
- Nov 5, 2019
- Last updated
- Nov 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine Wilson McGetrick, LMFT
- Title
- Owner
- Phone
- (203) 350-0700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Family Psychologist | 103TF0000X | NU | Primary |
Addresses
Primary practice location
786 Boston Post Rd
Madison, CT 06443-3036
Mailing address
786 Boston Post Rd
Madison, CT 06443-3036
Phone (203) 350-0700
Other names 1
- Rise Wellness
National Provider Directory
National Provider DirectoryLocations
786 Boston Post Rd
Madison, CT 06443
Phone (203) 350-0700
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.
-
- Counselor
- Madison, CT
- NPI 1992930853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572912000000",
"number": "1407490154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "786 BOSTON POST RD",
"city": "MADISON",
"state": "CT",
"postal_code": "064433036",
"telephone_number": "203-350-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "786 BOSTON POST RD",
"city": "MADISON",
"state": "CT",
"postal_code": "064433036",
"telephone_number": "203-350-0700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISE THERAPY AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-05",
"last_updated": "2019-11-05",
"status": "A",
"authorized_official_last_name": "MCGETRICK",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "WILSON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-350-0700",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rise Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madison, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.