THE HEALING PRACTICE, LLC (NPI# 1750742144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750742144 |
| Entity Type | Organization |
| Organization Name | THE HEALING PRACTICE, LLC |
| Practice Address |
555 Bridgeport Ave Shelton CT 06484-4749 |
| Practice Telephone | 2035502755 |
| Practice Fax Number | 8776355324 |
| Mailing Telephone | 2035502755 |
| Mailing Fax Number | 8776355324 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |
| Authorized Official Name | DR. ANDREW KILLEN (PRESIDENT) |
| Authorized Official Telephone | 2035502755 |
| Authorized Official Credential | MD,LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 046395 | CT | Allopathic & Osteopathic Physicians |
| 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 |
| 1861863268 | Stefanie M. Elledge | Speech-Language Pathologist | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2015-10-12 |
| 1528455623 | Thehealingpractice LLC | Clinic/Center | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2015-04-16 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1063658953 | Public Hospital District No 1 of Mason County | Family Medicine | 1701 N 13th St, Shelton, WA 98584-2077 | 2008-12-23 |
| 1609092964 | Shelton Family Medicine Pllc | Family Medicine | 939 Mountain View Drive, Ste 100, Shelton, WA 98584-4410 | 2007-04-17 |
| 1952439853 | Hansen Medical PC | Family Medicine | 302 C Street, Shelton, NE 68876 | 2007-03-01 |
| 1619019262 | Max Arnett | Family Medicine | 1227 W Lakeside Dr, Shelton, WA 98584-7144 | 2007-02-12 |
| 1871669978 | Elliot K Mathias | Family Medicine | 110 Commerce Dr, Shelton, CT 06484-6244 | 2006-11-28 |
| 1619925377 | Leon Rapko | Family Medicine | 887 Bridgeport Ave, Shelton, CT 06484-4621 | 2006-05-05 |
| 1609862390 | Timothy Weber | Family Medicine | 939 Mt View Dr, Suite #100, Shelton, WA 98584-4410 | 2005-09-27 |
| 1205831179 | Peggy A Hosford | Family Medicine | 237 Professional Way, Shelton, WA 98584-4404 | 2005-06-16 |
| Find all providers in SHELTON | ||||
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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.