NPIMap

Organization Active NPI

Straun Health & Wellness

  • Psychiatry Physician
  • East Berlin, CT
National Provider Identifier
1831647957
Registry record updated Sep 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
050844 Issued in CT
Legal business name
STRAUN HEALTH & WELLNESS
Practice address
1224 Mill St
BLDG B
East Berlin, CT 06023-1159
Phone
(860) 756-0455
Fax
(866) 469-7058
NPI assigned
Sep 18, 2016
Last updated
Sep 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2016

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

Authorized official

Name
Dr. Teo-Carlo StraunNPI 1235339219
Title
Medical Director
Phone
(860) 756-0455

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 050844 CT Primary
Addiction Psychiatry Physician 2084P0802X 050844 CT
Adult Mental Health Clinic/Center 261QM0850X 050844 CT

Addresses

Primary practice location

1224 Mill St
BLDG B
East Berlin, CT 06023-1159

Mailing address

1224 Mill St
BLDG B
East Berlin, CT 06023-1159
Phone (860) 756-0455

National Provider Directory

National Provider Directory

Locations

243 Tresser Blvd
Fl 17
Stamford, CT 06901
Phone (860) 756-0455

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23172/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1474156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474156800000",
    "number": "1831647957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 MILL ST",
            "address_2": "BLDG B",
            "city": "EAST BERLIN",
            "state": "CT",
            "postal_code": "060231159",
            "telephone_number": "860-756-0455",
            "fax_number": "866-469-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 MILL ST",
            "address_2": "BLDG B",
            "city": "EAST BERLIN",
            "state": "CT",
            "postal_code": "060231159",
            "telephone_number": "860-756-0455",
            "fax_number": "866-469-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAUN HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-18",
        "last_updated": "2016-09-18",
        "status": "A",
        "authorized_official_last_name": "STRAUN",
        "authorized_official_first_name": "TEO-CARLO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "860-756-0455",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "050844",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CT",
            "license": "050844",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "050844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Berlin, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2016; 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.