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INTEGRATED WELLNESS GROUP LLC NPI 1003096744


NPI Information

NPI: 1003096744
Provider Name: INTEGRATED WELLNESS GROUP, LLC
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
446A BLAKE STREET
SUITE 200
NEW HAVEN, CT
ZIP 06515
Phone: (203) 387-9400
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INTEGRATED WELLNESS GROUP, LLC is a clinical child and adolescent psychologist in New Haven, CT. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. INTEGRATED WELLNESS GROUP, LLC NPI is 1003096744. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

446A BLAKE STREET
SUITE 200
NEW HAVEN, CT
ZIP 06515-216
Phone: (203) 387-9400
Fax: (888) 772-2160

The provider's authorized official is Maysa Akbar .
The authorized official title is Executive Director and has the following contact phone number (203) 387-9400.

The enumeration date for this NPI number is 11/9/2007 and was last updated on 9/9/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family TherapistNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3101Y00000XCounselor001636CONNECTICUTNo
41041C0700XSocial WorkerClinical006473CONNECTICUTNo
51041C0700XSocial WorkerClinical005442CONNECTICUTNo
6103TC2200XPsychologistClinical Child & Adolescent002659CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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