INTEGRATED WELLNESS GROUP, LLC
INTEGRATED WELLNESS GROUP, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003096744, based in New Haven, CT. The organization lists 5 taxonomy classifications, with Clinical Child & Adolescent Psychologist recorded as primary.
Getting there
Here is what surrounds this office in New Haven, based on OpenStreetMap data collected Sep 5, 2026. Parking is available about 793 ft away. The nearest transit stop is 0.47 mi away. A pharmacy sits 0.27 mi from the entrance (Walgreens), which helps if you leave with a prescription.
Getting here and what is nearby
Convenience Food Market Inc. 647 ft ~3 min
538 Whalley Avenue, New Haven 06511
Parking 632 ft ~3 min
Parking 650 ft ~3 min
Parking 793 ft ~4 min
Restaurant Domino's 0.24 mi ~5 min
470 Whalley Avenue, New Haven 06511
Mo-Th 10:30-24:00; Fr-Sa 10:30-01:00; Su 10:30-24:00
Pharmacy Walgreens 0.27 mi ~6 min
Transit Whalley at Ellsworth 0.28 mi ~6 min
Restaurant D' Amato's Seafood II 0.28 mi ~6 min
Grocery Edge of the Woods 0.37 mi ~8 min
379 Whalley Avenue, New Haven 06511
Mo-Fr 08:30-19:30; Sa 08:30-18:30; Su 09:00-18:00
Gas station Exxon 0.38 mi ~8 min
773;763 Whalley Avenue, New Haven 06515
Restaurant Shang Hai Chinese Restaurant 0.39 mi ~8 min
363 Whalley Avenue, New Haven 06511
Mo-Th 11:00-21:00, Fr-Sa 11:00-21:30
Convenience L&A Mini Mart 0.43 mi ~9 min
Transit 0.45 mi ~9 min
Gas station Citgo 0.45 mi ~9 min
Transit 0.47 mi ~10 min
Grocery Minore's Market 0.51 mi ~11 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 001636 | CT | Counselor |
| 006473 | CT | Clinical Social Worker |
| 005442 | CT | Clinical Social Worker |
| 002659 | CT | Clinical Child & Adolescent Psychologist primary |
This provider holds licence 001636 issued in CT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3476639600
- Enrollment ID
- O20080327000554
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinical Child & Adolescent covers
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. NUCC Health Care Provider Taxonomy, code 103TC2200X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | — | — | |
| 2084P0800X | Psychiatry Physician Psychiatry | — | — | |
| 101Y00000X | Counselor | 001636 | CT | |
| 1041C0700X | Clinical Social Worker Clinical | 006473 | CT | |
| 1041C0700X | Clinical Social Worker Clinical | 005442 | CT | |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | 002659 | CT | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003096744 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 9, 2007 |
| Last updated | Sep 9, 2010 |
| Status | Active |
| Practice address |
446A BLAKE STREET SUITE 200 New Haven, CT 06515 (203) 387-9400 Fax (888) 772-2160 |
| Mailing address |
446A BLAKE ST SUITE 200 New Haven, CT 06515 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 0 | 9 | 6 | 7 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 0 | 9 | 3 | 7 | 8 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.