MAC MENTAL & PHYSICAL WELLNESS LLC NPI 1659297448

NPI Information

  • NPI: 1659297448
  • Provider Name: MAC MENTAL & PHYSICAL WELLNESS LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 1224 MILL STREET
    BUILDING B STE 224
    EAST BERLIN, CT
    ZIP 06023
  • Phone: (860) 704-9052

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NPI Details

MAC MENTAL & PHYSICAL WELLNESS LLC is a family nurse practitioner in East Berlin, CT. MAC MENTAL & PHYSICAL WELLNESS LLC NPI is 1659297448. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1224 MILL STREET
BUILDING B STE 224
EAST BERLIN, CT
ZIP 06023-164
Phone: (860) 704-9052

The provider's authorized official is Mona Chiurillo .
The authorized official title is Owner and has the following contact phone number (860) 704-9052.

The enumeration date for this NPI number is 6/25/2026 and was last updated on 6/25/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
2363LF0000XNurse PractitionerFamilyYes

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: 11/21/2025

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