STONY CREEK WELLNESS GROUP, LLC
NPI 1598209116
Nurse Practitioner - Psychiatric/Mental Health in Guilford, CT
NPI Status: Active since December 16, 2016
Contact Information
2415 BOSTON POST RD
UNIT 12
GUILFORD, CT
ZIP 06437
Phone: (203) 693-4566
Fax: (203) 457-5970
- Organization
- Nurse Practitioner
- Psychiatric/Mental Health
- CLIA Number: 07D0997551
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-19-2026
About STONY CREEK WELLNESS GROUP, LLC
This page provides the complete NPI Profile along with additional information for Stony Creek Wellness Group, Llc, a provider established in Guilford, Connecticut operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1598209116 assigned on December 2016. The practitioner's primary taxonomy code is 363LP0808X with license number 5763 (CT). The provider is registered as an organization and their NPI record was last updated 10 years ago. Stony Creek Wellness Group, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Tricia L Mignosa Aprn (Owner)
- NPI
- 1598209116
- Provider Name
- STONY CREEK WELLNESS GROUP, LLC
- Entity Type
- Organization
- Location Address
- 2415 BOSTON POST RD UNIT 12 GUILFORD, CT 06437
- Location Phone
- (203) 693-4566
- Location Fax
- (203) 457-5970
- Mailing Address
- 2415 BOSTON POST RD UNIT 12 GUILFORD, CT 06437
- Mailing Phone
- (203) 693-4566
- Mailing Fax
- (203) 457-5970
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-16-2016
- Last Update Date
- 12-16-2016
- Code Navigator
A nurse practitioner (NP) like Stony Creek Wellness Group, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 5763
- License State
- CT
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 1922 (CT) |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | 9481 (CT) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D0997551
- Facility Type
- Physician Office
- Certificate Effective Date
- March 20, 2024
- Certificate Expiration Date
- March 19, 2026
- Laboratory Director
- EMILY A. NOLFO MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Stony Creek Wellness Group, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1598209116, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598209116, enumerated as an "organization" on December 16, 2016.
The provider is located at 2415 BOSTON POST RD UNIT 12 GUILFORD, CT 06437 and the phone number is (203) 693-4566.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
