ROOT DEEP NUTRITION AND WELLNESS
NPI 1619732914
Dietitian, Registered in Port Jefferson, NY

Q: What is Root Deep Nutrition And Wellness's NPI number?

The NPI number for Root Deep Nutrition And Wellness is 1619732914. It was assigned to this organization in the NPPES registry on February 15, 2024.

Q: What is Root Deep Nutrition And Wellness's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since February 15, 2024

646 MAIN ST, PORT JEFFERSON, NY 11777(631) 560-4466 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Root Deep Nutrition And Wellness NPPES

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

ROOT DEEP NUTRITION AND WELLNESS (NPI 1619732914) is a healthcare organization registered as a dietitian, registered in Port Jefferson, New York and active in the NPI registry since February 2024. The organization lists Anne Marie Berggren, Owner, as its authorized official.

NPPES Registry Identity

NPI1619732914

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameROOT DEEP NUTRITION AND WELLNESS

Location Address646 MAIN STPort Jefferson, NY 11777-2235

Mailing Address22 Clematis StPort Jefferson Station, NY 11776-1802 · (163) 156-0446

Phone(631) 560-4466

Organization SubpartNo

Authorized OfficialAnne Marie BerggrenOwner · (631) 560-4466

Enumeration DateFebruary 15, 2024

NPPES CertifiedFebruary 15, 2024

✔ NPI 1619732914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

646 MAIN ST, Port Jefferson, NY 11777

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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 19

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

HOPE TMS MEDICAL PRACTICE PC

Clinic/Center (Mental Health (Including Community Mental Health Center))

646 MAIN ST, SUITE 201
PORT JEFFERSON, NY 11777

Suffolk County (631) 509-6111

MR. ROBERT DAVID POLIN LCSW

Social Worker (Clinical)

646 MAIN ST, LOWER LEVEL
PORT JEFFERSON, NY 11777

Suffolk County (631) 689-8862

SAMANTHA AMODEO

Social Worker

646 MAIN ST
PORT JEFFERSON, NY 11777

Suffolk County (631) 802-2566

FARRELL HEALTH GROUP LLC

Psychologist

646 MAIN ST
PORT JEFFERSON, NY 11777

Suffolk County (631) 901-7777

DR. MICHAEL JAMES PERLOTTO PSY.D.

Psychologist (Clinical Child & Adolescent)

646 MAIN ST
PORT JEFFERSON, NY 11777

Suffolk County (631) 689-1462

MS. CATHLEEN EVALON DONALDSON LCSW

Social Worker

646 MAIN ST
PORT JEFFERSON, NY 11777

Suffolk County (631) 828-4135

DR. DENISE DIXON PH.D.

Psychologist (Clinical)

646 MAIN ST, 2ND FLOOR, SUITE 203
PORT JEFFERSON, NY 11777

Suffolk County (631) 456-9426

MRS. DEBRA JOAN KINGSLEY MENTAL HEALTH COUNSE

Counselor (Mental Health)

646 MAIN ST
PORT JEFFERSON, NY 11777

Suffolk County (631) 365-9839

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 Root Deep Nutrition And Wellness's NPI number?

The NPI number for Root Deep Nutrition And Wellness is 1619732914. It was assigned to this organization in the NPPES registry on February 15, 2024.

Where is Root Deep Nutrition And Wellness located?

Root Deep Nutrition And Wellness is located at 646 Main St, Port Jefferson, NY 11777. The listed phone number is (631) 560-4466.

What is Root Deep Nutrition And Wellness's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Root Deep Nutrition And Wellness was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.