Individual provider Active NPI

Natale Teodoro, MA, LMFT

  • Marriage & Family Therapist
  • Hartford, CT
National Provider Identifier
1447390018
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001430 Issued in CT
Practice address
664 Prospect Ave Ste 106
Hartford, CT 06105-4255
Phone
(860) 212-9776
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001430 CT Primary

Addresses

Primary practice location

664 Prospect Ave Ste 106
Hartford, CT 06105-4255

Mailing address

664 Prospect Ave Ste 106
Hartford, CT 06105-4255
Phone (860) 212-9776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 3, 2025 through Jun 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
001430CTMDMarriage & Family Therapist
1430CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wisdom Tree Therapy, LLC Marriage & Family Therapist CurrentSince Dec 24, 2023 Accepting new patients

Locations

664 Prospect Ave
Ste 106
Hartford, CT 06105
Phone (860) 212-9776

Interoperability endpoints

  • Direct secure messaging: natale.teodoro.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1447390018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 PROSPECT AVE STE 106",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054255",
            "telephone_number": "860-212-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 PROSPECT AVE STE 106",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054255",
            "telephone_number": "860-212-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEODORO",
        "first_name": "NATALE",
        "name_prefix": "Mr.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.