CENTER FOR FUNCTIONAL MEDICINE & WELLBEING LLC


Address: 3201 Lafayette Rd, Portsmouth, NH 03801-6078
Phone: 6033809159

CENTER FOR FUNCTIONAL MEDICINE & WELLBEING LLC (NPI# 1336764026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336764026
Entity Type Organization
Organization Name CENTER FOR FUNCTIONAL MEDICINE & WELLBEING LLC
Other Organization Name CENTER FOR WELLBEING
Practice Address 3201 Lafayette Rd
Portsmouth
NH 03801-6078
Practice Telephone 6033809159
Mailing Telephone 6033809159
Enumeration Date 2020-06-09
Last Update Date 2020-07-27
Authorized Official Name DR. JEFFREY DONATELLO (OWNER)
Authorized Official Telephone 2074517438
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Center for Wellbeing Doing Business As Name - Organization

Office Location

Street Address 3201 LAFAYETTE RD
City PORTSMOUTH
State NH
Zip Code 03801-6078

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407470305 Nisha Vanmali Student in an Organized Health Care Education/Training Program 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 2020-06-05
1528687456 Raji Shaher Student in an Organized Health Care Education/Training Program Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 2020-04-10
1790262988 Naturae, LLC Naturopath 501 Islington St., Ste 2b, Portsmouth, NH 03801 2018-07-20
1053854224 Dewey Theodore Kahn II Specialist 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 2016-11-21
1609322635 Cvs Pharmacy Pharmacist 674 Islington Street, Portsmouth, NH 03801 2016-08-30
1164978375 Maureen Mcpadden Pharmacist 117 Bow St Unit 114, Portsmouth, NH 03801 2016-08-28
1679922579 Portsmouth Eye Pllc Optometrist 38 Daniel St., Portsmouth, NH 03801 2016-06-10
1659734127 Sarah Jean Trafton Nurse Practitioner 79 Wibird St Apt #1, Portsmouth, NH 03801 2016-04-01
1184095002 Holding Hope Healing Services, LLC. Social Worker 104 Congress St., Suite 303, Portsmouth, NH 03801 2015-10-19
1093185415 Johanna Miriam Simmerman Mauss Naturopath 501 Islington Street, Suite 2b, Portsmouth, NH 03801 2015-09-28
Find all providers in zip 03801

Taxonomy Information

Taxonomy Code 2083P0901X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine

Taxonomy Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225263270 Christopher D. Clagett Preventive Medicine 620 John Paul Jones Cir, Portsmouth, VA 23708-2103 2009-05-20
1912024514 Steven Johannes Yevich Preventive Medicine 4023 Long Point Blvd, Portsmouth, VA 23703-5348 2007-03-26
1366421638 Ann Patricia Fallon Preventive Medicine 620 John Paul Jones Cir, Suite 1100, Portsmouth, VA 23708-2111 2006-01-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730248592 Natacha Villamia Sochat Preventive Medicine 358 Quaker St, Weare, NH 03281-4541 2006-12-07
1104301068 Top Wellness, Inc. Preventive Medicine 325 Washington St, Dover, NH 03820-3630 2018-09-26
1437680014 Amber Elizabeth Barnato Preventive Medicine 1 Medical Center Dr, Dhmc Department of Medicine (palliative Care), Lebanon, NH 03756-1000 2017-03-24
1679907158 Doris H Lotz Preventive Medicine 129 Pleasant St, Office Medicaid Business and Policy, Concord, NH 03301-3852 2013-09-03
1598898124 Richard Lee Siemens Preventive Medicine 718 Smyth Rd, V.a. Medical Center, Primary Care, Manchester, NH 03104-7007 2007-03-13
1114029766 Brian Robert Shiner Preventive Medicine 1 Medical Center Dr, Dartmouth-hitchcock Psychiatric Associates, Lebanon, NH 03756-1000 2006-09-03

Competitor

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City PORTSMOUTH
Zip Code 03801

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Dataset Information

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.

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