TOTAL WELLNESS CENTERS, LLC (NPI# 1770816506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770816506 |
| Entity Type | Organization |
| Organization Name | TOTAL WELLNESS CENTERS, LLC |
| Other Organization Name | CLEANSLATE CENTERS |
| Practice Address |
244 Main Street Annex Northampton MA 01061-0032 |
| Mailing Address |
15 Century Blvd Ste 307 Nashville TN 37214-3692 |
| Practice Telephone | 4135842173 |
| Mailing Telephone | 6154250220 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | MR. ROBERT HUTCHISON (CFO) |
| Authorized Official Telephone | 6154250220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CleanSlate Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770020018 | Total Wellness Centers, LLC | Clinical Medical Laboratory | 59 Bobala Rd, Holyoke, MA 01040 | 2017-01-25 |
| 1285964783 | Total Wellness Centers, LLC | Counselor | 258 Main St, West Springfield, MA 01089-3955 | 2010-01-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TOTAL WELLNESS CENTERS, LLC | 244 Main St, Northampton, MA 01060-3886 |
| Connecticut Business Registrations | TOTAL WELLNESS CENTERS, LLC | Pob 32, Northhampton, MA 01061 |
| Street Address |
244 MAIN STREET ANNEX |
| City | NORTHAMPTON |
| State | MA |
| Zip Code | 01061-0032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003874769 | Enoch O Darko | Emergency Medicine | 30 Locust Street, Cooley Dickinson Hospital, Northampton, MA 01061 | 2006-05-03 |
| 1952546079 | Jay Steven Levy | Social Worker | 1 Prince Street, Northampton, MA 01061 | 2008-12-03 |
| 1841450004 | Steward Pet Imaging LLC | Clinic/Center | 30 Locust Street, Cooley Dickinson Hospital, Northampton, MA 01061 | 2008-06-11 |
| 1730396516 | Judith Brock | Advanced Practice Midwife | 30 Locust St., Cooley Dickinson Center for Midwifery Care, Northampton, MA 01061 | 2007-05-17 |
| 1154426781 | Sander Joshua Fasten | Dentist | 12 Center Street, Northampton, MA 01061 | 2006-09-14 |
| 1427072479 | Mark Novotny | Internal Medicine | 30 Locust Street, Northampton, MA 01061 | 2006-07-26 |
| 1518057579 | John Stewart Swanson | Psychiatry & Neurology | 1 Prince Street, Massachusetts Department of Mental Health, Northampton, MA 01061-0389 | 2006-10-13 |
| 1871650184 | Anna Marie Loven | Dietitian, Registered | 30 Locust St., Northampton, MA 01061-5001 | 2007-01-03 |
| 1174705974 | Dwight Kelley | Pharmacist | 30 Locust Street, Cooley Dickinson Hospital, Northampton, MA 01061-5001 | 2007-12-04 |
| 1902810096 | Julia Gates | Radiology | 30 Locust Street, Northampton, MA 01061-5001 | 2006-07-27 |
| Find all providers in zip 01061 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850388 | Cleanslate Medical Group of California PC | Internal Medicine | 244 Main St, Northampton, MA 01060-3886 | 2017-02-20 |
| 1194264911 | Cleanslate Medical Group of The District of Columbia Pllc | Internal Medicine | 244 Main St, Northampton, MA 01060 | 2017-02-13 |
| 1003195959 | On Call Urgent Care LLC | Internal Medicine | 6 Hatfield St, Northampton, MA 01060-1556 | 2011-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154804698 | Bay Medical Systems Associates LLC | Internal Medicine | 29 Main St Ste 101, Millbury, MA 01527-2005 | 2018-09-11 |
| 1619491198 | Willett & Associates | Internal Medicine | 22 Adams St Ste 1, Lynn, MA 01902-2804 | 2017-07-27 |
| 1275897092 | Jeoffrey Michael Hill | Internal Medicine | 100 Stone Manor Dr, New Marlborough, MA 01230-9744 | 2012-06-26 |
| 1487944914 | William Robert Caruso | Internal Medicine | 8 Winthrop Ave, Po 1153, Duxbury, MA 02332-5207 | 2011-04-18 |
| 1417139700 | David Anthony Tortorella | Internal Medicine | 170 Main St Units G4-g8, Tewksbury, MA 01876 | 2007-11-29 |
| 1609920776 | Theodore Treibick | Internal Medicine | 138 East St, Carlisle, MA 01741-1105 | 2007-01-23 |
| 1174544548 | William M Burke | Internal Medicine | 157 Temple St, West Roxbury, MA 02132-3804 | 2006-07-21 |
| 1083633580 | Michael J.f. Iannessa | Internal Medicine | 1233 State Rd, Plymouth, MA 02360-5133 | 2006-07-18 |
| 1235165291 | Robert Barry Downes | Internal Medicine | 169 Pine St, Natick, MA 01760-1332 | 2006-06-23 |
| 1669430526 | Alan A Wartenberg | Internal Medicine | 3 Prince St, Attleboro, MA 02703-1613 | 2006-05-02 |
| Find all providers with the same taxonomy | ||||
| City | NORTHAMPTON |
| Zip Code | 01061 |
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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.