Active NPI
Wellness Haven LLC
- Acupuncturist
- New Haven, CT
National Provider Identifier
1902257272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 000572
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000572 | Other | CT | CONNECTICUT DEPARTMENT OF HEALTH |
National Provider Directory
National Provider DirectoryLocations
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.