NORTHEAST WELLNESS CLINIC PLLC
NPI 1114851227
Nurse Practitioner - Psychiatric/Mental Health in Fairfield, CT

Active since June 12, 2026
1201 KINGS HWY, FAIRFIELD, CT 06824(203) 913-9213 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Wellness Clinic Pllc NPPES

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

NORTHEAST WELLNESS CLINIC PLLC (NPI 1114851227) is a healthcare organization registered as a psychiatric/mental health in Fairfield, Connecticut and active in the NPI registry since June 2026. The organization lists Damaris Torres, Manager, as its authorized official.

NPPES Registry Identity

NPI1114851227
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameNORTHEAST WELLNESS CLINIC PLLC
Location Address1201 KINGS HWYFairfield, CT 06824-5319
Mailing Address1201 Kings HwyFairfield, CT 06824-5319
Organization SubpartNo
Authorized OfficialDamaris TorresManager · (203) 913-9213
Enumeration DateJune 12, 2026
NPPES CertifiedJune 11, 2026
NPI 1114851227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1201 KINGS HWY, Fairfield, CT 06824

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1201 KINGS HWY
FAIRFIELD, CT 06824

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 Northeast Wellness Clinic PLLC's NPI number?

The NPI number for Northeast Wellness Clinic PLLC is 1114851227. It was assigned to this organization in the NPPES registry on June 12, 2026.

Where is Northeast Wellness Clinic PLLC located?

Northeast Wellness Clinic PLLC is located at 1201 Kings Hwy, Fairfield, CT 06824. The listed phone number is (203) 913-9213.

What is Northeast Wellness Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Northeast Wellness Clinic PLLC was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.