NPIMap

Organization Active NPI

Pediatric & Family Center Or Natural Medicine

  • Naturopath
  • Wallingford, CT
National Provider Identifier
1720248024
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000357 Issued in CT
Legal business name
PEDIATRIC & FAMILY CENTER OR NATURAL MEDICINE
Practice address
857 N Main Street Ext
#2
Wallingford, CT 06492-2465
Phone
(203) 265-0444
Fax
(203) 265-0472
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Dr. Jared Skowron, N.D.NPI 1780745893
Title
Owner
Phone
(203) 265-0444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X 000357 CT Primary

Addresses

Primary practice location

857 N Main Street Ext
#2
Wallingford, CT 06492-2465

Mailing address

857 N Main Street Ext
#2
Wallingford, CT 06492-2465
Phone (203) 265-0444

National Provider Directory

National Provider Directory

Locations

857 N Main Street Ext
Ste 2
Wallingford, CT 06492
Phone (203) 265-0444

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1720248024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 N MAIN STREET EXT",
            "address_2": "#2",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922465",
            "telephone_number": "203-265-0444",
            "fax_number": "203-265-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 N MAIN STREET EXT",
            "address_2": "#2",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922465",
            "telephone_number": "203-265-0444",
            "fax_number": "203-265-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & FAMILY CENTER OR NATURAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "SKOWRON",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-265-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.