INTEGRATED WELLNESS GROUP, LLC
NPI 1003096744
Psychologist - Clinical Child & Adolescent in New Haven, CT

Active since November 09, 2007
446A BLAKE STREET, SUITE 200, NEW HAVEN, CT 06515(203) 387-9400(888) 772-2160 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Integrated Wellness Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED WELLNESS GROUP, LLC (NPI 1003096744) is a healthcare organization registered as a clinical child & adolescent in New Haven, Connecticut and active in the NPI registry since November 2007. The organization lists Maysa Akbar, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1003096744
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameINTEGRATED WELLNESS GROUP, LLC
Location Address446A BLAKE STREET, SUITE 200New Haven, CT 06515-2216
Mailing Address446a Blake St, Suite 200New Haven, CT 06515-1286 · (203) 387-9400 · Fax (888) 772-2160
Fax(888) 772-2160
Organization SubpartNo
Authorized OfficialMaysa AkbarExecutive Director · (203) 387-9400
Enumeration DateNovember 9, 2007
Last NPPES UpdateSeptember 9, 2010
✔ NPI 1003096744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in CT · 002659
Definition
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.
Also ListedCounselorTaxonomy 101Y00000X · License 001636 (CT)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 006473 (CT), 005442 (CT)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
446A BLAKE STREET, New Haven, CT 06515

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrated Wellness Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Integrated Wellness Group, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Mental Health Counselor
NPI 1114401692
869 WHALLEY AVE
New Haven, CT 06515
(475) 238-2790
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1003321951
182 WILLARD ST
New Haven, CT 06515
(203) 687-5971
✔ PECOS0.5 mi
Marriage and Family Therapist
NPI 1528614526
141 E MAIN ST
Waterbury, CT 06702
(203) 756-7287
✔ PECOS✔ Accepts Medicare16 mi
Clinical Psychologist
NPI 1609810498
2101 MARTIN LUTHER KING JR AVE SE CHILDRENS HEALTH CLINIC ANACOSTIA
Washington, DC 20020
(202) 476-6900
✔ PECOS273 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Wellness Group, LLC's NPI number?

The NPI number for Integrated Wellness Group, LLC is 1003096744. It was assigned to this organization in the NPPES registry on November 9, 2007.

Where is Integrated Wellness Group, LLC located?

Integrated Wellness Group, LLC is located at 446A Blake Street Suite 200, New Haven, CT 06515. The listed phone number is (203) 387-9400.

What is Integrated Wellness Group, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Integrated Wellness Group, LLC enrolled in Medicare?

Yes. Integrated Wellness Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Wellness Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Integrated Wellness Group, LLC, in Clinical Psychologist, Clinical Social Worker, Marriage and Family Therapist and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Integrated Wellness Group, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Integrated Wellness Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Integrated Wellness Group, LLC was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.