Organization Active NPI

New Havne Naturopathic Center

  • Naturopath
  • New Haven, CT
National Provider Identifier
1811221955
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
#000301 Issued in CT
Legal business name
NEW HAVNE NATUROPATHIC CENTER
Practice address
1079 Whalley Ave
Suite 4
New Haven, CT 06515-1783
Phone
(203) 387-5015
Fax
(203) 387-3500
NPI assigned
Sep 22, 2009
Last updated
Sep 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Dr. Jennifer Dorothy Botwick, N.D.
Title
Owner/Physician
Phone
(203) 387-5015

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X #000301 CT Primary
Health Service Clinic/Center 261QH0100X #000301 CT

Addresses

Primary practice location

1079 Whalley Ave
Suite 4
New Haven, CT 06515-1783

Mailing address

1079 Whalley Ave
Suite 4
New Haven, CT 06515-1783
Phone (203) 387-5015

National Provider Directory

National Provider Directory

Locations

1079 Whalley Ave
Ste 4
New Haven, CT 06515
Phone (203) 387-5015

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1811221955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 WHALLEY AVE",
            "address_2": "SUITE 4",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151783",
            "telephone_number": "203-387-5015",
            "fax_number": "203-387-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 WHALLEY AVE",
            "address_2": "SUITE 4",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151783",
            "telephone_number": "203-387-5015",
            "fax_number": "203-387-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVNE NATUROPATHIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "BOTWICK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DOROTHY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "203-387-5015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "CT",
            "license": "#000301",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CT",
            "license": "#000301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.