WELLNESS CENTER OF OXFROD (NPI# 1275008195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275008195 |
| Entity Type | Organization |
| Organization Name | WELLNESS CENTER OF OXFROD |
| Practice Address |
350 Center Rock Grn Ste 9 Oxford CT 06478-3170 |
| Practice Telephone | 2039511858 |
| Practice Fax Number | 2033071771 |
| Mailing Telephone | 2039511858 |
| Mailing Fax Number | 2033071771 |
| Enumeration Date | 2018-10-07 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | MICHAEL ALLEN (MANAGING PARTNER) |
| Authorized Official Telephone | 2039511858 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 8084662 | 05 |
| Street Address |
350 CENTER ROCK GRN STE 9 |
| City | OXFORD |
| State | CT |
| Zip Code | 06478-3170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170716 | Jenna Rae Ryan | Counselor | 350 Center Rock Grn Ste 9, Oxford, CT 06478-3170 | 2020-10-01 |
| 1265045074 | Tamara Anne Tarrant | Marriage & Family Therapist | 350 Center Rock Grn Ste 9, Oxford, CT 06478-3170 | 2020-08-31 |
| 1962030858 | Anisa K. Taliercio | Social Worker | 350 Center Rock Grn Ste 9, Oxford, CT 06478-3170 | 2020-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528420270 | Kristin Grasso | Marriage & Family Therapist | 5a Silano Drive, Oxford, CT 06478 | 2016-03-22 |
| 1760609333 | Oxford Dental Associates | Dentist | 35 Old State Rd, Oxford, CT 06478 | 2007-04-18 |
| 1588660245 | Rx Care Pharmacies, Inc | Pharmacy | 91 Willenbrock Rd Ste B1, Oxford, CT 06478-1036 | 2005-06-27 |
| 1164545349 | Anna Mary Hunt | Pharmacist | 91 Willenbrock Rd Ste B1, Oxford, CT 06478-1036 | 2007-04-10 |
| 1952488520 | Cornerstone Medical Services LLC | Durable Medical Equipment & Medical Supplies | 115 Hurley Rd Ste 4a, Oxford, CT 06478-1046 | 2006-11-01 |
| 1548713746 | Price Chopper Inc | Pharmacy | 140 Main St, Oxford, CT 06478-1056 | 2016-07-25 |
| 1972850485 | Stan Peter Lisewski | Pharmacist | 4 Kerski Dr, Oxford, CT 06478-1170 | 2012-08-14 |
| 1356511521 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1 Jacks Hill Rd, Ste 1, Oxford, CT 06478-1190 | 2008-03-04 |
| 1992714208 | Renee Joyce Richardson | Nurse's Aide | 46 Towner Ln, Oxford, CT 06478-1211 | 2006-08-05 |
| 1407415052 | Mind Body Well Therapy, Pllc | Counselor | 160 Christian St, Oxford, CT 06478-1221 | 2019-06-07 |
| Find all providers in zip 06478 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972161404 | Roots Counseling, LLC | Clinic/Center | 2208 Glen Davis Rd, Oxford, AL 36203-3751 | 2019-05-30 |
| 1285117721 | Inner Peace Counseling | Clinic/Center | 316 Main St, Oxford, MA 01540-1728 | 2018-09-11 |
| 1114413044 | North Mississippi Commission On Mental Illness/mental Retardation | Clinic/Center | 152 Highway 7 S, Oxford, MS 38655-5392 | 2018-07-03 |
| 1427543776 | Mend LLC | Clinic/Center | 2692 W Oxford Loop, Oxford, MS 38655 | 2018-06-28 |
| 1962990465 | The Wellness Center of Oxford LLC | Clinic/Center | 304 Enterprise Dr, Oxford, MS 38655-2762 | 2018-04-30 |
| 1306379532 | Training & Treatment Innovations Inc | Clinic/Center | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2017-04-05 |
| 1659784569 | North Mississippi Commission On Mental Illness/mental Retardation | Clinic/Center | 152 Highway 7 S, Oxford, MS 38655-5392 | 2014-06-09 |
| 1518145408 | North Mississippi Commission On Mental Illness/ Mental | Clinic/Center | 152 Highway 7 South, Oxford, MS 38655-5392 | 2008-02-04 |
| 1477609246 | Human Services Inc | Clinic/Center | 35 N 3rd St, Oxford, PA 19363-1423 | 2007-01-26 |
| 1558468694 | North Mississippi Commission On Mental Illness/mental Retardation | Clinic/Center | 152 Highway 7 S, Oxford, MS 38655-5392 | 2006-09-20 |
| Find all providers in OXFORD | ||||
Please comment or provide details below to improve the information on WELLNESS CENTER OF OXFROD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.