Active NPI
Greater Hartford Wellness
- Community/Behavioral Health Agency
- West Hartford, CT
National Provider Identifier
1578920187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 3003
- Legal business name
- GREATER HARTFORD WELLNESS
- Practice address
- 10 N Main St
Suite 204
West Hartford, CT 06107-1968 - Phone
- (860) 878-2028
- Fax
- (860) 236-2016
- NPI assigned
- Jan 27, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kathleen C Wawrzyniak Webb, PSYD
- Title
- Psychologist
- Phone
- (860) 878-2028
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 3003 | CT | Primary |
Addresses
Primary practice location
10 N Main St
Suite 204
West Hartford, CT 06107-1968
Mailing address
10 N Main St
Suite 204
West Hartford, CT 06107-1968
Phone (860) 878-2028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008045960 | Medicaid | CT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453852800000",
"number": "1578920187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 N MAIN ST",
"address_2": "SUITE 204",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071968",
"telephone_number": "860-878-2028",
"fax_number": "860-236-2016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 N MAIN ST",
"address_2": "SUITE 204",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071968",
"telephone_number": "860-878-2028",
"fax_number": "860-236-2016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER HARTFORD WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-27",
"last_updated": "2016-01-27",
"status": "A",
"authorized_official_last_name": "WAWRZYNIAK WEBB",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "860-878-2028",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CT",
"license": "3003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008045960",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.