Organization Active NPI

Greater Hartford Wellness

  • Community/Behavioral Health Agency
  • West Hartford, CT
National Provider Identifier
1578920187
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3003 Issued in CT
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

Updated by the provider on Jan 27, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
008045960MedicaidCT

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.