THEHEALINGPRACTICE LLC (NPI# 1528455623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528455623 |
| Entity Type | Organization |
| Organization Name | THEHEALINGPRACTICE LLC |
| Practice Address |
555 Bridgeport Ave Shelton CT 06484-4749 |
| Practice Telephone | 2039870717 |
| Mailing Telephone | 2039870717 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |
| Authorized Official Name | DR. ANDREW KILLEN (MD) |
| Authorized Official Telephone | 2039870717 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
046395 | CT | Ambulatory Health Care Facilities |
| Street Address |
555 BRIDGEPORT AVE |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-4749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811938533 | Bardia Asgari | Internal Medicine | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2006-06-10 |
| 1487139812 | Austin Chaves | Physical Therapist | 555 Bridgeport Ave, Shelton, CT 06484-4731 | 2018-10-02 |
| 1285147405 | Julianne Giordano | Physical Therapist | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2017-11-09 |
| 1770024143 | Gabriela Depa | Speech-Language Pathologist | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2017-03-17 |
| 1750742144 | The Healing Practice, LLC | Family Medicine | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2016-03-11 |
| 1861863268 | Stefanie M. Elledge | Speech-Language Pathologist | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2015-10-12 |
| 1851789127 | Caroline S Monroe | Occupational Therapist | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2015-01-08 |
| 1740684075 | Kara Doherty | Speech-Language Pathologist | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2014-10-15 |
| 1346502895 | Jennifer Holdorf Naturopathic, LLC | Naturopath | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2012-06-11 |
| 1659504462 | Craig Emil Ullrich | Physical Therapist | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2009-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417156183 | Olympic Physicians P.l.l.c. | Clinic/Center | 221 Professional Way, Shelton, WA 98584-4404 | 2007-07-13 |
| 1730399411 | Domenic W. Casablanca, M.d., P.C. | Clinic/Center | 4 Corporate Dr, Suite 195, Shelton, CT 06484-6211 | 2007-05-23 |
| 1356439699 | Public Hopsital District No 1 of Mason County | Clinic/Center | 247 Professional Way, Shelton, WA 98584-0011 | 2006-10-11 |
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| 1306447578 | Luca Health & Wellness, LLC | Clinic/Center | 2475 Albany Ave Ste 205, West Hartford, CT 06117-2523 | 2020-11-04 |
| 1699307751 | Pride Comprehensive Primary Care LLC | Clinic/Center | 7 Warren Rd, Wolcott, CT 06716-3015 | 2020-02-06 |
| 1316405186 | Ct Optimal Wellness, LLC | Clinic/Center | 115 Technology Dr Unit A103, Trumbull, CT 06611-6338 | 2019-03-11 |
| 1922586809 | Emmaus Health LLC | Clinic/Center | 945 Main St Ste 205, Manchester, CT 06040-6064 | 2018-08-01 |
| 1841781382 | Clifford W. Beers Guidance Clinic Inc | Clinic/Center | 41 Marne St, Hamden, CT 06514 | 2018-05-21 |
| 1598284622 | Np Wellness Care | Clinic/Center | 253 Fairlawn Dr, Torrington, CT 06790-5809 | 2017-09-09 |
| 1245773191 | Anchor Health Initiative Corp. | Clinic/Center | 30 Myano Ln Ste 16, Stamford, CT 06902-4532 | 2016-11-27 |
| 1588114870 | Whole Self Wellness, LLC | Clinic/Center | 144 Banjo Sullivan Rd, Griswold, CT 06351-1201 | 2016-10-11 |
| 1265892541 | Amanda M Swan Aprn LLC | Clinic/Center | 33 Harmund Pl, Wethersfield, CT 06109-1209 | 2016-03-01 |
| 1215321666 | Grand Medical LLC | Clinic/Center | 515 Higgins Rd, Cheshire, CT 06410-3326 | 2015-03-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.