Wildwood Wellness

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

WILDWOOD WELLNESS

Practice address

79A Norwich Ave
Colchester, CT 06415-1276

Phone

(203) 213-8614

NPI assigned

Mar 27, 2024

Organization subpart

No

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

Authorized official

Name

Annie C Hodgins, LMFTNPI 1952022279

Title

Owner

Phone

(203) 213-8614

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Annie Hodgins, LMFT

  • Marriage & Family Therapist
  • Hartford, CT
  • NPI 1952022279
  NPD Authorized official

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1588415889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MALLARD PT",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "062371540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79A NORWICH AVE",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151276",
            "telephone_number": "203-213-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDWOOD WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "HODGINS",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-213-8614",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westchester Eye Care
• Westchester Family Dental
• Louise M Wickham, NP
• Carol Wierzbinski Wikarska, LMT
• Wild Apple Eye II LLC
• Charlene Ann Willax, RN
• Julie Danielle Willing, LCSW
• Kevin Neal Winicki, RPH
• Nicholas E. Wisniewski, O.D.
• Ellen Young

• Marriage & Family Therapist in Colchester, CT
• Providers in Colchester, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.