Psychiatric Wellnes Center, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

026162 Issued in CT

Legal business name

PSYCHIATRIC WELLNES CENTER, LLC

Practice address

51 N Main St
Suite 1a
Southington, CT 06489-2537

Phone

(860) 628-9121

Fax

(860) 276-8670

NPI assigned

Nov 7, 2007

Last updated

Nov 7, 2007By 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

Dr. Aileen Feldman, M.D.

Title

Owner

Phone

(860) 628-9121

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Marie Elena Bray, LMFT

  • Marriage & Family Therapist
  • Southington, CT
  • NPI 1497859607
  NPD (past)
• Mary Haran, APRN

  • Psychiatry Physician
  • Southington, CT
  • NPI 1285728782
  NPD (past)
• Sandra J White

  • Clinical Social Worker
  • Southington, CT
  • NPI 1306045422
  NPD (past)

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1861672875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N MAIN ST",
            "address_2": "SUITE 1A",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892537",
            "telephone_number": "860-628-9121",
            "fax_number": "860-276-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N MAIN ST",
            "address_2": "SUITE 1A",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892537",
            "telephone_number": "860-628-9121",
            "fax_number": "860-276-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC WELLNES CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "AILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-628-9121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "026162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polish Caregivers
• Rachel Deborah Pope, RDN
• Ralph Prezioso Jr., MD
• Procaire, LLC
• Progressions,LLC
• Michelle Queen, LPC
• Nazer Qureshi, MD
• R.P. Soutter Enterprises, Inc. (Harvest Medical & Surgical Supplies)
• Lee Raspet, RPH
• Stacey Kim Raya, DC

• Psychiatry Physician in Southington, CT
• Providers in Southington, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.