Organization Active NPI

Rise Therapy and Wellness, LLC

Doing business as Rise Wellness

  • Family Psychologist
  • Madison, CT
National Provider Identifier
1407490154
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.