NPIMap

Organization Active NPI

Center for Natural Medicine, LLC

  • Naturopath
  • Watertown, CT
National Provider Identifier
1922498872
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000124 Issued in CT
Legal business name
CENTER FOR NATURAL MEDICINE, LLC
Practice address
640 Main St
Watertown, CT 06795-2614
Phone
(860) 945-1004
NPI assigned
Jan 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Dr. Jonathan Raistrick, N.D.NPI 1548377021
Title
Physician
Phone
(860) 945-1004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X 000124 CT Primary

Addresses

Primary practice location

640 Main St
Watertown, CT 06795-2614

Mailing address

640 Main St
Watertown, CT 06795-2614
Phone (860) 945-1004

National Provider Directory

National Provider Directory

Locations

642 Main St
Watertown, CT 06795
Phone (860) 945-1004

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1922498872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 MAIN ST",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952614",
            "telephone_number": "860-945-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 MAIN ST",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952614",
            "telephone_number": "860-945-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR NATURAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "RAISTRICK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "860-945-1004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.