TMW Wellness PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TMW WELLNESS PLLC

Practice address

504 Wolcott Rd Ste C
Wolcott, CT 06716-2462

Phone

(203) 504-9507

NPI assigned

Mar 29, 2023

Organization subpart

Yes

Parent organization

THE MODERN WOMAN HEALTH & WELLNESS CENTER PLLCAs reported in NPPES

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

Authorized official

Name

Shivanna Subramni-Gonzalez, FNP

Title

Cmo

Phone

(203) 725-5339

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Part of

The Modern Woman Health Wellness Center PLLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Modern Woman Health & Wellness Center PLLC

  • Family Nurse Practitioner
  • Wolcott, CT
  • NPI 1801599295
  NPPES parent name

Practitioners 3

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

• Melynda Ramona Cabrera, MS, NCC, LPC

  • Professional Counselor
  • Southbury, CT
  • NPI 1811329246
  Medicare reassignment NPD
• Shivanna Subramani Gonzalez, DNP

  • Family Nurse Practitioner
  • Wolcott, CT
  • NPI 1457758179

  Multi-Specialty

  Medicare reassignment NPD
• Caitlin Iannucci, LPC, ATR

  • Counselor
  • Milford, CT
  • NPI 1467768929
  NPD (past)

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1700580198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 WOLCOTT RD STE C",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 WOLCOTT RD STE C",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162462",
            "telephone_number": "203-504-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMW WELLNESS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MODERN WOMAN HEALTH & WELLNESS CENTER PLLC",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "SUBRAMNI-GONZALEZ",
        "authorized_official_first_name": "SHIVANNA",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "203-725-5339",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael F Swierczynski, D.C.
• Taylor Nicole Tardif
• The Modern Woman Health & Wellness Center PLLC
• Cynthia Lynn Thibodeau, M.S.,CCC-SLP
• Christine M Thorn, D.C.
• TMW Wellness PLLC
• Christian Toro
• Louis G Tufano, PHD
• Unique Approach, LLC
• Nicholas Veltri, DMD

• Mental Health Counselor in Wolcott, CT
• Providers in Wolcott, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.