Organization Active NPI

Sirsha Yoga and Wellness Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southington, CT
National Provider Identifier
1710420567
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
8999 Issued in CT
Legal business name
SIRSHA YOGA AND WELLNESS CENTER, LLC
Practice address
1131 West St
BLDG 1 Suite 3
Southington, CT 06489-6006
Phone
(203) 232-3107
NPI assigned
Nov 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Marianne Silva, LCSW
Title
LCSW
Phone
(203) 232-3107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 8999 CT Primary

Addresses

Primary practice location

1131 West St
BLDG 1 Suite 3
Southington, CT 06489-6006

Mailing address

70 Bagley Ter
Waterbury, CT 06705-3010

National Provider Directory

National Provider Directory

Locations

1131 West St
Ste 3
Southington, CT 06489
Phone (203) 585-4730

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1710420567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BAGLEY TER",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 WEST ST",
            "address_2": "BLDG 1 SUITE 3",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064896006",
            "telephone_number": "203-232-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRSHA YOGA AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "203-232-3107",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "8999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.