New England Holistic Well-Being Center LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NEW ENGLAND HOLISTIC WELL-BEING CENTER LLC

Practice address

4 Doubleday Rd
Columbia, CT 06237-1405

Phone

(860) 337-0024

NPI assigned

Oct 14, 2020

Last updated

Oct 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dominica B Hernandez, PHDNPI 1003413493

Title

Psychologist

Phone

(860) 337-0024

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Dominica B Hernandez, PHD

  • Psychologist
  • Columbia, CT
  • NPI 1003413493
  NPD Authorized official

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1831797539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DOUBLEDAY RD",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "062371405",
            "telephone_number": "860-337-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DOUBLEDAY RD",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "062371405",
            "telephone_number": "860-337-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND HOLISTIC WELL-BEING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DOMINICA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "860-337-0024",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry L. Michaud, LCSW
• Laureen Moran, PT
• Stephen M Moran, RPT
• Travis Moran, DPT
• Zachary Moran, ND
• Dawn Marie Orzolek, OTR/L
• Andrew Perry
• Jarlyn Phillips
• Elisa Marie Quesada, LCSW
• Nicole Christine Rava, PT, DPT

• Adult Mental Health Clinic/Center in Columbia, CT
• Providers in Columbia, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.