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
The practice address on file is 446A BLAKE STREET SUITE 200, New Haven, CT 06515. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 002659 | CT | Clinical Child & Adolescent Psychologist primary |
| 001636 | CT | Counselor |
| 006473 | CT | Clinical Social Worker |
| 005442 | CT | Clinical Social Worker |
This provider holds licence 002659 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
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though 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 | |
|---|---|---|---|---|
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | 002659 | CT | primary |
| 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 |
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.