CT OPTIMAL WELLNESS, LLC (NPI# 1770014656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770014656 |
| Entity Type | Organization |
| Organization Name | CT OPTIMAL WELLNESS, LLC |
| Practice Address |
100 Pearl St 12 Floor Hartford CT 06103 |
| Mailing Address |
124 W 60th Street Suite 35d New York NY 10023 |
| Practice Telephone | 8607250025 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | JENNIFER SIRCH (MANAGER) |
| Authorized Official Telephone | 2032159179 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
52588 | CT | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316405186 | Ct Optimal Wellness, LLC | Clinic/Center | 115 Technology Dr Unit A103, Trumbull, CT 06611-6338 | 2019-03-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Ct Optimal Wellness, LLC | 100 Oxford Road, Oxford, CT 06478 |
| Street Address |
100 PEARL ST 12 FLOOR |
| City | HARTFORD |
| State | CT |
| Zip Code | 06103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710389689 | Alister Bruce Campbell | Internal Medicine | 100 Pearl St, C.m. Smith 3rd Floor, Hartford, CT 06103-4506 | 2014-09-22 |
| 1083154744 | Perfectly Imperfekt | Non-emergency Medical Transport (VAN) | 100 Pearl St, 14th Floor, Hartford, CT 06103-4506 | 2017-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720577646 | Jennifer Elana Lassman | Counselor | 20 Front St Apt 505, Hartford, CT 06103 | 2018-05-07 |
| 1073020574 | Amc Counseling Services, LLC | Marriage & Family Therapist | 100 Pearl Street, 14th Floor, Hartford, CT 06103 | 2018-01-05 |
| 1376987834 | Marisol Acevedo Cruz LLC | Marriage & Family Therapist | 100 Wells St. Suite 2l, Bushnell On The Park, Hartford, CT 06103 | 2013-04-26 |
| 1619241676 | Maria-elena Elena Mouser | Physical Therapist | 100 Wells Street Suite 1b, Connecticut Orthopedic Rehabilitation Associates, Hartford, CT 06103 | 2012-03-08 |
| 1770777104 | Nicola C Kennedy | Dentist | 960 Main St, 8th Floor, Hartford Board of Ed Health Services, Hartford, CT 06103 | 2007-08-29 |
| 1801933908 | Anne Mcawley-leduc | Nurse Practitioner | 450 Columbus Ave, Hartford, CT 06103 | 2007-01-30 |
| 1194806083 | Brian W Courtney | Dentist | One Gold St., Hartford, CT 06103 | 2006-10-18 |
| 1689695587 | Diana D Hede | Dentist | 860 Main St, Health Srvcs, Hartford, CT 06103 | 2006-07-23 |
| 1851319826 | William A. Lohrer | Orthopaedic Surgery | Hartford Orthopedic Medicine - 100 Wells Street, Suite 1b, Hartford, CT 06103 | 2006-07-18 |
| 1518992874 | Jin Ho Chung | Physical Medicine & Rehabilitation | 100 Wells Street- Suite 1b, Hartford Orthopedic Medicine, Hartford, CT 06103 | 2006-07-12 |
| Find all providers in zip 06103 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942792254 | Quad/med, LLC | Clinic/Center | 1900 W. Sumner Street, Hartford, WI 53027 | 2018-06-01 |
| 1942423488 | Ct Childrens Medical Center/betances | Clinic/Center | 42 Charter Oak Ave, Hartford, CT 06106-1909 | 2007-04-11 |
| 1922121797 | Hartford Dispensary | Clinic/Center | 12-14 Weston Street, Hartford, CT 06120-1504 | 2007-04-09 |
| 1043823487 | Zen Wellness Care | Clinic/Center | 556 Zion St, Hartford, CT 06106-2348 | 2020-08-25 |
| 1679011803 | Community Health Services | Clinic/Center | 500 Albany Ave, Hartford, CT 06120-2508 | 2017-02-08 |
| 1386085850 | Burgdorf Bank of America Health Center | Clinic/Center | 131 Coventry St, 2nd Floor Administration, Hartford, CT 06112-1548 | 2013-07-12 |
| 1780958884 | Disability Determination Services | Clinic/Center | 309 Wawarme Ave, Hartford, CT 06114-1509 | 2012-03-07 |
| 1306168398 | Corporate Health Demensions, Inc | Clinic/Center | 151 Farmington Ave., Reaw, Hartford, CT 06156 | 2010-02-18 |
| 1629225842 | Aetna Inc., Wellness Works Center | Clinic/Center | 151 Farmington Ave, Hartford, CT 06156-0001 | 2008-08-19 |
| 1093930539 | Ct Childrens Medical Center/betances | Clinic/Center | 42 Charter Oak Ave, Hartford, CT 06106-1909 | 2007-04-17 |
| Find all providers in HARTFORD | ||||
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| 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.