Park City Wellness Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002646 Issued in CT

Legal business name

PARK CITY WELLNESS CENTER, LLC

Practice address

1000 Lafayette Blvd
Suite 1142
Bridgeport, CT 06604-4725

Phone

(203) 395-8412

Fax

(203) 683-5901

NPI assigned

Aug 11, 2016

Organization subpart

No

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

Authorized official

Name

Hope Taylor, LPC

Title

Owner

Phone

(203) 395-8412

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1700330446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LAFAYETTE BLVD",
            "address_2": "SUITE 1142",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044725",
            "telephone_number": "203-395-8412",
            "fax_number": "203-683-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAFAYETTE BLVD",
            "address_2": "SUITE 1142",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044725",
            "telephone_number": "203-395-8412",
            "fax_number": "203-683-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CITY WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "HOPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-395-8412",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elinor Parisi, MS, MA
• Margaret Parisi, PA-S
• Park City Adult Day Care Inc.
• Park City Hearing Aid Inc.
• Park City Home Care
• Sy on Park-Dinga, O.D
• Christopher Renn Park, RN
• Junhee Park, M.D.
• Casey Parker
• Elisabeth Parker

• Professional Counselor in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.