HOLISTIC PSYCHIATRIC SERVICES LLC


Address: 2875 Main St Ste 2a, Stratford, CT 06614-4979
Phone: 9293341767

HOLISTIC PSYCHIATRIC SERVICES LLC (NPI# 1700357233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700357233
Entity Type Organization
Organization Name HOLISTIC PSYCHIATRIC SERVICES LLC
Practice Address 2875 Main St Ste 2a
Stratford
CT 06614-4979
Practice Telephone 9293341767
Mailing Telephone 9293341767
Mailing Fax Number 8662580934
Enumeration Date 2018-12-10
Last Update Date 2019-01-18
Authorized Official Name MRS. ISELANDE DESYR (PMHNP-BC)
Authorized Official Telephone 9293341767
Authorized Official Credential APRN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT NPI 1487190278 01

Office Location

Street Address 2875 MAIN ST STE 2A
City STRATFORD
State CT
Zip Code 06614-4979

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588139604 David A Crosby Physician Assistant 125 Pumpkin Ground Road, Stratford, CT 06614 2018-10-04
1710489232 Karen Marie Laconte Naturopath 720 Hilltop Dr, Stratford, CT 06614 2018-02-28
1972024693 Amanda Wilson Social Worker 60 Edmund Street, Stratford, CT 06614 2017-07-03
1558801423 Kristine Lynn Conlan Physical Therapist 55 Pasadena Ave., Stratford, CT 06614 2017-02-27
1811440258 Seokwon Kwon Dentist 320 Boston Ave, Stratford, CT 06614 2016-08-02
1093176141 Kathleen G Domek Technician/Technologist 150 Barnum Avenue Cut Off, Stratford, CT 06614 2016-03-17
1417328634 Kelley Machado Social Worker 2127 Nichols Ave, Stratford, CT 06614 2015-10-14
1043629553 Jennifer Woods-mesquita Social Worker 125 Greenlawn Ave, Stratford, CT 06614 2014-08-08
1437564010 Jose R. Pacheco Obstetrics & Gynecology 120 Brightwood Ave, Stratford, CT 06614 2014-06-23
1740612829 Stanley Brovender General Practice 773b Pontiac Lane, Stratford, CT 06614 2013-07-31
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881108496 Michael Otoole Dnp Aprn LLC Nurse Practitioner 2505 Main St Ste 208, Stratford, CT 06615-5813 2017-11-20
1043554033 Deborah Ann Klaszky Nurse Practitioner 42 E Laurel Rd, Udp #1800, Stratford, NJ 08084-1354 2012-11-15
1821376591 Kathleen P. Carius Aprn, LLC Nurse Practitioner 1129 Essex Pl, Stratford, CT 06615-5867 2011-07-29
1245368513 Mary Susan Hungerford Nurse Practitioner 305 Boston Ave, Stratford, CT 06614-5246 2007-03-01
1285650622 Sharon Colwell Nurse Practitioner 999 Oronoque Ln, 2nd Floor, North, Stratford, CT 06614-1379 2006-07-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578164935 Sheneese Denelle Charles Nurse Practitioner 22 Victoria Rd, New Britain, CT 06052-1536 2020-11-03
1396345179 Kate Hanselman Nurse Practitioner 224 Saint John St # 3l, New Haven, CT 06511-4917 2020-10-29
1518565399 Gina Kolstad Nurse Practitioner 279 Quarry Rd # 2, Glastonbury, CT 06033-3406 2020-10-13
1043818966 Shakeria C Brown Nurse Practitioner 567 Millville Ave Apt 3-10, Naugatuck, CT 06770-2337 2020-10-13
1154937910 Gregory Guion Nurse Practitioner 2275 Silas Deane Highway, 2nd Floor, Rocky Hill, CT 06067-2343 2020-09-17
1003425331 Ryan Keenan Nurse Practitioner 34 Seaview Ave, West Haven, CT 06516-6846 2020-07-22
1649888256 Healthy Minds Pllc Nurse Practitioner 40 Russ St, Hartford, CT 06106-1520 2020-07-20
1174131205 Kimberly Levitt Nurse Practitioner 466 Ridgebury Rd, Ridgefield, CT 06877-1228 2020-07-15
1801414602 Georgina Twumasi Mental Health LLC Nurse Practitioner 29 Wildwood Cir, South Windsor, CT 06074-1700 2020-07-08
1356978688 Rachel Feit Nurse Practitioner 63 Pine Tree Dr, Stamford, CT 06906-1529 2020-03-25
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Competitor

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City STRATFORD
Zip Code 06614

Improve Information

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Dataset Information

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.

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