Active NPI
Amavida Optimal Health LLC
- Family Medicine Physician
- Bloomfield, CT
National Provider Identifier
1932019064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- AMAVIDA OPTIMAL HEALTH LLC
- Practice address
- 1 Bestor LN
Bloomfield, CT 06002-2485 - Phone
- (860) 206-2122
- Fax
- (860) 243-3315
- NPI assigned
- Sep 10, 2026
- 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
- Mrs. Rochelle Collins, DO
- Title
- Provider
- Phone
- (860) 206-2122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1 Bestor LN
Bloomfield, CT 06002-2485
Mailing address
1 Bestor LN
Bloomfield, CT 06002-2485
Phone (860) 206-2122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1932019064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BESTOR LN",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060022485",
"telephone_number": "860-206-2122",
"fax_number": "860-243-3315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BESTOR LN",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060022485",
"telephone_number": "860-206-2122",
"fax_number": "860-243-3315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMAVIDA OPTIMAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "ROCHELLE",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "860-206-2122",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.