Organization Active NPI

Road to Wellness, LLC

  • Adult Mental Health Clinic/Center
  • Hamden, CT
National Provider Identifier
1639516032
Registry record updated May 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
003271 Issued in CT
Legal business name
ROAD TO WELLNESS, LLC
Practice address
2911 Dixwell Ave
Suite B-5
Hamden, CT 06518-3195
Phone
(203) 654-1367
Fax
(203) 889-4926
NPI assigned
May 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2013

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

Authorized official

Name
Dr. Aleesha Denise Grier-Rogers, PSY.D.
Title
Manager/Owner
Phone
(203) 654-1367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 003271 CT Primary

Addresses

Primary practice location

2911 Dixwell Ave
Suite B-5
Hamden, CT 06518-3195

Mailing address

2911 Dixwell Ave
Suite B-5
Hamden, CT 06518-3195
Phone (203) 654-1367

National Provider Directory

National Provider Directory

Locations

2911 Dixwell Ave
Ste B-5
Hamden, CT 06518
Phone (203) 916-5496

NPI Registry JSON

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

{
    "created_epoch": "1369612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369612800000",
    "number": "1639516032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 DIXWELL AVE",
            "address_2": "SUITE B-5",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183195",
            "telephone_number": "203-654-1367",
            "fax_number": "203-889-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 DIXWELL AVE",
            "address_2": "SUITE B-5",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183195",
            "telephone_number": "203-654-1367",
            "fax_number": "203-889-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAD TO WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-27",
        "last_updated": "2013-05-27",
        "status": "A",
        "authorized_official_last_name": "GRIER-ROGERS",
        "authorized_official_first_name": "ALEESHA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "203-654-1367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "003271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2013; 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.