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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MAC MENTAL & PHYSICAL WELLNESS LLC
NPI 1659297448
Nurse Practitioner - Family in East Berlin, CT

Active since June 25, 2026
1224 MILL STREET, BUILDING B STE 224, EAST BERLIN, CT 06023(860) 704-9052 Get Directions Write a Review

NPPES record added: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mac Mental & Physical Wellness Llc NPPES

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

MAC MENTAL & PHYSICAL WELLNESS LLC (NPI 1659297448) is a healthcare organization registered as a family in East Berlin, Connecticut and active in the NPI registry since June 2026. The organization lists Mona Chiurillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1659297448
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMAC MENTAL & PHYSICAL WELLNESS LLC
Location Address1224 MILL STREET, BUILDING B STE 224East Berlin, CT 06023-1164
Mailing Address1224 Mill Street, Building B Ste 224East Berlin, CT 06023-1164 · (860) 704-9052
Phone(860) 704-9052
Organization SubpartNo
Authorized OfficialMona ChiurilloOwner · (860) 704-9052
Enumeration DateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1659297448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
1224 MILL STREET, East Berlin, CT 06023
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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

Other Providers at the Same Location NPPES 2

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

JASON TARTT LCSW
Social Worker (Clinical)
1224 MILL STREET, BLDG. B SUITE 113
EAST BERLIN, CT 06023
Capitol Planning Region (860) 748-9443
BALANCE THERAPY SERVICES, LLC
Social Worker (Clinical)
1224 MILL STREET, BLDG. B SUITE 113
EAST BERLIN, CT 06023
Capitol Planning Region (860) 748-9443

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 Mac Mental & Physical Wellness LLC's NPI number?

The NPI number for Mac Mental & Physical Wellness LLC is 1659297448. It was assigned to this organization in the NPPES registry on June 25, 2026.

Where is Mac Mental & Physical Wellness LLC located?

Mac Mental & Physical Wellness LLC is located at 1224 Mill Street Building B Ste 224, East Berlin, CT 06023. The listed phone number is (860) 704-9052.

What is Mac Mental & Physical Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mac Mental & Physical Wellness LLC was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 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.