Organization Active NPI

Redeem Wellness Center II, LLC

Doing business as Redeem Wellness Center, LLC

  • Marriage & Family Therapist
  • Westport, CT
National Provider Identifier
1942968151
Registry record updated Dec 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
REDEEM WELLNESS CENTER II, LLC
Doing business as
Redeem Wellness Center, LLC
Practice address
19 Ludlow Rd
Westport, CT 06880-3040
Phone
(203) 208-3940
Fax
(203) 693-4900
NPI assigned
Dec 5, 2021
Last updated
Dec 5, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
REDEEM WELLNESS CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2021

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

Authorized official

Name
Marcos Rosa, LMFT
Title
Owner
Phone
(203) 208-3940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

19 Ludlow Rd
Westport, CT 06880-3040

Mailing address

19 Ludlow Rd
Westport, CT 06880-3040
Phone (203) 208-3940

Other names 1

  • Redeem Wellness Center, LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Redeem Wellness Center LLC

Locations

19 Ludlow Rd
Westport, CT 06880
Phone (203) 208-3940

19 Ludlow Rd
Ste 302
Westport, CT 06880
Phone (203) 684-0734

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638662400000",
    "number": "1942968151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LUDLOW RD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803040",
            "telephone_number": "203-208-3940",
            "fax_number": "203-693-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LUDLOW RD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803040",
            "telephone_number": "203-208-3940",
            "fax_number": "203-693-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEEM WELLNESS CENTER II, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REDEEM WELLNESS CENTER, LLC",
        "enumeration_date": "2021-12-05",
        "last_updated": "2021-12-05",
        "certification_date": "2021-12-05",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-208-3940",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redeem Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2021; 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.