NPIMap

Organization Active NPI

Torchlight Wellness LLC

  • Psychosomatic Medicine Physician
  • Pawtucket, RI
National Provider Identifier
1720876147
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
Legal business name
TORCHLIGHT WELLNESS LLC
Practice address
700 Narragansett Park Dr Ste 100
Pawtucket, RI 02861-4326
Phone
(401) 388-0422
Fax
(888) 586-2207
NPI assigned
Apr 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Authorized official

Name
Jeremy Agu Parker, MDNPI 1780027888
Title
Owner
Phone
(401) 388-0422

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
Psychosomatic Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0015X Primary

Addresses

Primary practice location

700 Narragansett Park Dr Ste 100
Pawtucket, RI 02861-4326

Mailing address

700 Narragansett Park Dr Ste 100
Pawtucket, RI 02861-4326
Phone (401) 388-0422

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1745625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745625600000",
    "number": "1720876147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NARRAGANSETT PARK DR STE 100",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028614326",
            "telephone_number": "401-388-0422",
            "fax_number": "888-586-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NARRAGANSETT PARK DR STE 100",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028614326",
            "telephone_number": "401-388-0422",
            "fax_number": "888-586-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORCHLIGHT WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-26",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "AGU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-388-0422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; 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.