Wild Orchid Wellness, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WILD ORCHID WELLNESS, LLC

Practice address

363 New Britain Rd
Berlin, CT 06037-1318

Phone

(860) 614-2222

NPI assigned

Jun 4, 2024

Organization subpart

No

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

Authorized official

Name

Madeline Ortiz, LCSW

Title

Owner

Phone

(860) 614-2222

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madeline Figueroa, LMSW

  • Clinical Social Worker
  • Hartford, CT
  • NPI 1144938762
  NPD

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1861233876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 NEW BRITAIN RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060371318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 NEW BRITAIN RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060371318",
            "telephone_number": "860-614-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD ORCHID WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-614-2222",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Ward
• Elizabeth T Waszkiewicz, L.C.S.W.
• Dorothy B Weber, OT
• Christopher Gordon Wicke, L.O.
• Jennifer M Wilcox, NP
• Amy Woods, MSOT, OTR/L
• Joanna Monika Wyszomirski
• Diane Yoder
• Your Personal SLP, LLC.

• Adult Mental Health Clinic/Center in Berlin, CT
• Providers in Berlin, 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 Jun 4, 2024; 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.