Tree of Life Primary Care and Recovery LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

TREE OF LIFE PRIMARY CARE AND RECOVERY LLC

Practice address

129 Church St Ste 417
New Haven, CT 06510-2052

Phone

(646) 785-7452

NPI assigned

Feb 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ronica Mukerjee, DNP

Title

Clinical Director

Phone

(646) 785-7452

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1437659091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 CHURCH ST STE 417",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102052",
            "telephone_number": "646-785-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 CHURCH ST STE 417",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102052",
            "telephone_number": "646-785-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE PRIMARY CARE AND RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "MUKERJEE",
        "authorized_official_first_name": "RONICA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "646-785-7452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Traxler, D.O.
• Alison Tray, APRN
• Nadeeka Roshani Treadwell
• Cassidy Jade Treanor, PHARMD
• Shannan Lynne Trebing, CRNA
• Miriam Treggiari, MD
• Maria Camila Trejo Paredes, MD
• Janice Mary Trelease, LMFT
• Elizabeth Elaine Tremblay, MD, MPH
• Sandra Trevino

• Community Health Clinic/Center in New Haven, CT
• Providers in New Haven, CT by specialty
• Community Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.