Organization Active NPI

Jpa Health and Wellness, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shelton, CT
National Provider Identifier
1770068520
Registry record updated Nov 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JPA HEALTH AND WELLNESS, LLC.
Practice address
525 Bridgeport Ave, Suite 100
Shelton, CT 06484-4700
Phone
(203) 823-6313
NPI assigned
Sep 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2021

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

Authorized official

Name
Mrs. Jennifer Marie Paskiewicz, MS, LMFT
Title
Psychotherapist/ Owner
Phone
(203) 823-6313

Specialties & licenses 1

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

Addresses

Primary practice location

525 Bridgeport Ave, Suite 100
Shelton, CT 06484-4700

Mailing address

19 Elgin Rd
Milford, CT 06460-3717
Phone (203) 823-6313

National Provider Directory

National Provider Directory

Locations

525 Bridgeport Ave
Ste 100
Shelton, CT 06484
Phone (203) 823-6313

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": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636243200000",
    "number": "1770068520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ELGIN RD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603717",
            "telephone_number": "203-823-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BRIDGEPORT AVE, SUITE 100",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844700",
            "telephone_number": "203-823-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPA HEALTH AND WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A",
        "authorized_official_last_name": "PASKIEWICZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/ OWNER",
        "authorized_official_telephone_number": "203-823-6313",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2021; 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.