OrganizationActive
Integrated Wellness Group, LLC
NPI 1003096744 · Clinical Child & Adolescent Psychologist · New Haven, CT
Provider details
- NPI number
- 1003096744
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Maysa Akbar, Executive Director
Practice location
446a Blake Street
Suite 200
New Haven, CT 06515-2216
Phone: (203) 387-9400
Fax: (888) 772-2160
Mailing address
446a Blake St
New Haven, CT 06515-1286
Registry dates
- Enumerated
- 2007-11-09
- Last updated
- 2010-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.