Organization Active NPI

Root Cause LLC

  • Acupuncturist
  • New Haven, CT
National Provider Identifier
1821508169
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
583 Issued in CT
Legal business name
ROOT CAUSE LLC
Practice address
75 Whitney Ave
New Haven, CT 06510-1226
Phone
(203) 865-5121
NPI assigned
Sep 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Authorized official

Name
Joshua Shain, MSAOM L.AC.
Title
Manager
Phone
(203) 673-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 583 CT Primary

Addresses

Primary practice location

75 Whitney Ave
New Haven, CT 06510-1226

Mailing address

422 Toilsome Hill Rd
Fairfield, CT 06825-1627
Phone (203) 673-9600

Other identifiers 1

IdentifierTypeStateIssuer
1134577984MedicaidCT

National Provider Directory

National Provider Directory

Locations

75 Whitney Ave
New Haven, CT 06510
Phone (203) 865-5121

NPI Registry JSON

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

{
    "created_epoch": "1506729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1821508169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 TOILSOME HILL RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251627",
            "telephone_number": "12036739600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 WHITNEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101226",
            "telephone_number": "203-865-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT CAUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-30",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "SHAIN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-673-9600",
        "authorized_official_credential": "MSAOM L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134577984",
            "state": "CT"
        }
    ],
    "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 Oct 4, 2017; 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.