Organization Active NPI

Medicine for Living LLC

  • Integrative Medicine Physician
  • Woodbury, CT
National Provider Identifier
1801595749
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
Legal business name
MEDICINE FOR LIVING LLC
Practice address
51 Sherman Hill Rd BLDG a
Woodbury, CT 06798-3648
Phone
(203) 405-1464
NPI assigned
Feb 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Alicia Ann McKelvey, MD
Title
Owner/MD
Phone
(203) 405-1464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202D00000X Primary

Addresses

Primary practice location

51 Sherman Hill Rd BLDG a
Woodbury, CT 06798-3648

Mailing address

51 Sherman Hill Rd BLDG a
Woodbury, CT 06798-3648
Phone (203) 405-1464

Other identifiers 1

IdentifierTypeStateIssuer
001426164MedicaidCT

National Provider Directory

National Provider Directory

Locations

51 Sherman Hill Rd
Bldg A
Woodbury, CT 06798
Phone (203) 405-1464

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1801595749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SHERMAN HILL RD BLDG A",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983648",
            "telephone_number": "203-405-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SHERMAN HILL RD BLDG A",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983648",
            "telephone_number": "203-405-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE FOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "MCKELVEY",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "203-405-1464",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001426164",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.