Whole Health Wellness, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

001695 Issued in CT

Legal business name

WHOLE HEALTH WELLNESS, LLC

Practice address

139 Mill Rock Rd E Unit 1522
Old Saybrook, CT 06475

Phone

(860) 662-1933

NPI assigned

Jan 4, 2011

Organization subpart

No

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

Authorized official

Name

Jennifer S Bosco, LPC

Title

Member/Owner

Phone

(860) 662-1933

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1508160631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N MAIN ST UNIT 1522",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754244",
            "telephone_number": "860-662-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 MILL ROCK RD E UNIT 1522",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "06475",
            "telephone_number": "860-662-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Route 32",
            "address_purpose": "LOCATION",
            "city": "North Franklin",
            "state": "CT",
            "postal_code": "06254",
            "country_code": "US",
            "telephone_number": "860-662-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHOLE HEALTH WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "BOSCO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "860-662-1933",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "001695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008026193",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilary Weissberg, SLP
• Eilis Clare Welsh, CCC-SLP
• Pamela Marie Wertheim, APRN
• Ann Whitall
• Hannah Miller Whitehead, RN, MSN, NP
• Wilford Samson Family Dentistry
• William J. McCann M.D. P,C,
• Craig Stephen Wilson, DDS
• Cynthia Rose Wojtkowiak, RN IBCLC
• Laurel Wood, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.