New Road Wellness, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

NEW ROAD WELLNESS, LLC

Practice address

7 Michael Dr
Clinton, CT 06413-1068

Phone

(203) 318-6484

Fax

(203) 318-6484

NPI assigned

May 3, 2019

Organization subpart

No

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

Authorized official

Name

Theresa Laggis, PMHNP-BCNPI 1376081570

Title

Owner

Phone

(860) 227-5725

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Theresa Laggis, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New London, CT
  • NPI 1376081570
  NPD Authorized official

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1992360143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W MAIN ST STE 357",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MICHAEL DR",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064131068",
            "telephone_number": "203-318-6484",
            "fax_number": "203-318-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ROAD WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "LAGGIS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-227-5725",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMHNP-BC",
            "identifier": "1376081570",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "6934",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariana Morasutti, MS, RDN, CDN
• Ann Mullins, FNP
• Elizayda Murphy
• Jeanne P Murray, LMFT
• New Hope Wellness, PLLC
• Kevin M O'Connell, D.D.S.
• Shawn O'Rourke, RPH
• Donna Olivieri, LCSW
• Hal Lawrence Ostrom, O.D.
• Jill Alexandra Paglino, LCPA

• Psychiatric/Mental Health Nurse Practitioner in Clinton, CT
• Providers in Clinton, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.