Organization Active NPI

Third Stone Integrative Health Center

  • Naturopath
  • Essex, CT
National Provider Identifier
1457978256
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
THIRD STONE INTEGRATIVE HEALTH CENTER
Practice address
3 Wildwood Medical Ctr
Essex, CT 06426-1155
Phone
(860) 661-4662
Fax
(860) 661-4654
NPI assigned
Jun 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Anne Procyk, ND
Title
Owner/Provider
Phone
(860) 572-9566

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

3 Wildwood Medical Ctr
Essex, CT 06426-1155

Mailing address

3 Wildwood Medical Ctr
Essex, CT 06426-1155
Phone (860) 661-4662

Other identifiers 4

IdentifierTypeStateIssuer
1962561837OtherNPPES
1447616941OtherNPPES
1487784302OtherNPPES
1013393487OtherNPPES

National Provider Directory

National Provider Directory
Tax ID family
Third Stone Integrative Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1457978256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WILDWOOD MEDICAL CTR",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261155",
            "telephone_number": "860-661-4662",
            "fax_number": "860-661-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WILDWOOD MEDICAL CTR",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261155",
            "telephone_number": "860-661-4662",
            "fax_number": "860-661-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD STONE INTEGRATIVE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "PROCYK",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "860-572-9566",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1962561837",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1447616941",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1487784302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1013393487",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.