We-Mpact LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

000562 Issued in CT

Legal business name

WE-MPACT LLC

Practice address

258 Middle St
Suite C
Bristol, CT 06010-7492

Phone

(860) 940-4838

NPI assigned

Apr 19, 2010

Last updated

Apr 19, 2010By 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

Ms. Bette J Kozak, LPC

Title

Clinical Director

Phone

(860) 940-4838

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1871819631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 MIDDLE ST",
            "address_2": "SUITE C",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060107492",
            "telephone_number": "860-940-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 MIDDLE ST",
            "address_2": "SUITE C",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060107492",
            "telephone_number": "860-940-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WE-MPACT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "KOZAK",
        "authorized_official_first_name": "BETTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "860-940-4838",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "000562",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "000562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanne Margaret Wargo, APRN
• Amanda Marie Watson, FNP-BC
• Mark D Watson, M.D.
• Savannah Watts
• Tanya Wayne, LMFT
• Christine Ann Weaving, MEDATC
• Hannah Rose Webber
• Laura Webster, COTA/L
• Edward Weingarden, MD
• Margaret E Weir, APRN

• Community/Behavioral Health Agency in Bristol, CT
• Providers in Bristol, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.