NPIMap

Organization Active NPI

Hyman Integrative Therapies

Doing business as The UltraWellness Center

  • Integrative Medicine Physician
  • Lenox, MA
National Provider Identifier
1508563594
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
Legal business name
HYMAN INTEGRATIVE THERAPIES
Doing business as
The UltraWellness Center
Practice address
55 Pittsfield Road
Suite 9
Lenox, MA 01240
Phone
(413) 637-9991
Fax
(413) 637-9995
NPI assigned
Feb 10, 2023
Last updated
Feb 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Mark Hyman, MDNPI 1154442309
Title
Founder & Director
Phone
(413) 637-9991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202D00000X Primary

Addresses

Primary practice location

55 Pittsfield Road
Suite 9
Lenox, MA 01240

Mailing address

55 Pittsfield Road
Suite 9
Lenox, MA 01240
Phone (413) 637-9991

Other names 1

  • The UltraWellness Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1038192Hyman Integrative Therapies LLC55 Pittsfield Rd Ste 9, Lenox, MA 01240Certificate of waiverApr 19, 2027

National Provider Directory

National Provider Directory

Locations

55 Pittsfield Rd
Ste 9
Lenox, MA 01240
Phone (413) 637-9991

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1508563594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PITTSFIELD ROAD",
            "address_2": "SUITE 9",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "01240",
            "telephone_number": "413-637-9991",
            "fax_number": "413-637-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PITTSFIELD ROAD",
            "address_2": "SUITE 9",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "01240",
            "telephone_number": "413-637-9991",
            "fax_number": "413-637-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYMAN INTEGRATIVE THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "HYMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "FOUNDER & DIRECTOR",
        "authorized_official_telephone_number": "413-637-9991",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The UltraWellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenox, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.