Organization Active NPI

Wellness Haven LLC

  • Acupuncturist
  • New Haven, CT
National Provider Identifier
1902257272
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
000572 Issued in CT
Legal business name
WELLNESS HAVEN LLC
Practice address
340 Whitney Ave
New Haven, CT 06511-2317
Phone
(203) 980-5822
NPI assigned
Jun 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Candice Paragano, L.AC.
Title
Licensed Acupuncturist/ Manager
Phone
(203) 980-5822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 000572 CT Primary

Addresses

Primary practice location

340 Whitney Ave
New Haven, CT 06511-2317

Mailing address

340 Whitney Ave
New Haven, CT 06511-2317
Phone (203) 980-5822

Other identifiers 1

IdentifierTypeStateIssuer
000572OtherCTCONNECTICUT DEPARTMENT OF HEALTH

National Provider Directory

National Provider Directory

Locations

340 Whitney Ave
New Haven, CT 06511
Phone (203) 562-9110

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1902257272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 WHITNEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112317",
            "telephone_number": "203-980-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 WHITNEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112317",
            "telephone_number": "203-980-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "PARAGANO",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST/ MANAGER",
        "authorized_official_telephone_number": "203-980-5822",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "000572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT DEPARTMENT OF HEALTH",
            "identifier": "000572",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.