HEALTHSOURCE OF EAST LYME LLC (NPI# 1790965267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790965267 |
| Entity Type | Organization |
| Organization Name | HEALTHSOURCE OF EAST LYME LLC |
| Other Organization Name | SUNRISE WELLNESS CENTER LLC |
| Practice Address |
126 Boston Post Rd East Lyme CT 06333-1606 |
| Practice Telephone | 8607393927 |
| Mailing Telephone | 8607393927 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2014-02-24 |
| Authorized Official Name | DR. THOMAS B GOULDING (OWNER) |
| Authorized Official Telephone | 8607393927 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 000310 | CT | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Sunrise Wellness Center LLC | Former Legal Business Name - Organization |
| Street Address |
126 BOSTON POST RD |
| City | EAST LYME |
| State | CT |
| Zip Code | 06333-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487682795 | Thomas B Goulding | Chiropractor | 126 Boston Post Rd, East Lyme, CT 06333-1606 | 2006-06-28 |
| 1811093719 | Diane Elaine Brouder | Marriage & Family Therapist | 126 Boston Post Rd, East Lyme, CT 06333 | 2006-09-16 |
| 1790713089 | Beth S Goulding | Chiropractor | 126 Boston Post Rd, East Lyme, CT 06333-1606 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720575541 | Alaina Anne King | Counselor | 315 Flanders Rd Ste A, East Lyme, CT 06333 | 2018-04-17 |
| 1477861391 | Hong Qi | Acupuncturist | 26 Sandpiper Lane, East Lyme, CT 06333 | 2010-09-14 |
| 1124164777 | Maureen Lynn Spitzer | Psychiatry & Neurology | 15 Chesterfield Road, Suite 212, East Lyme, CT 06333 | 2007-01-30 |
| 1265599278 | Joseph Anthony Palumbo | Dentist | 15 Church Lane, East Lyme, CT 06333 | 2007-01-02 |
| 1942361654 | Debra Kaufman Daren | Dentist | 131 Boston Post Rd., East Lyme, CT 06333 | 2006-12-13 |
| 1164534384 | Kim Shepardson Watson | Social Worker | 29 Chesterfield Rd, East Lyme, CT 06333 | 2006-09-01 |
| 1033125323 | James Anthony Dyer | Dentist | 131 Boston Post Road, East Lyme, CT 06333 | 2006-07-31 |
| 1467484337 | Stop and Shop Supermarket Co LLC | Pharmacy | 248 Flanders Road, East Lyme, CT 06333 | 2006-07-07 |
| 1902849839 | Carol A Thompson | Marriage & Family Therapist | 29 Chesterfield Road, East Lyme, CT 06333 | 2006-06-14 |
| 1629452156 | Amie Frederick | Physician Assistant | 305 Flanders Rd, East Lyme, CT 06333 | 2015-07-15 |
| Find all providers in zip 06333 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487682795 | Thomas B Goulding | Chiropractor | 126 Boston Post Rd, East Lyme, CT 06333-1606 | 2006-06-28 |
| 1326460031 | Chiro2go LLC | Chiropractor | 183 Boston Post Rd, East Lyme, CT 06333 | 2014-01-15 |
| 1356775332 | Renee Ann Brown | Chiropractor | 305 Flanders Rd, Suite 6, East Lyme, CT 06333 | 2013-08-27 |
| 1104961549 | Christopher Zbigniew Lachowski | Chiropractor | 15 Chesterfield Rd, Suite 206, East Lyme, CT 06333-1730 | 2007-02-21 |
| 1164516258 | Kissel Chiropractic LLC | Chiropractor | 314 Flanders Rd, East Lyme, CT 06333-1727 | 2006-10-03 |
| 1669571527 | Stephen Charles Kissel | Chiropractor | 314 Flanders Rd, East Lyme, CT 06333-1727 | 2006-09-21 |
| 1790713089 | Beth S Goulding | Chiropractor | 126 Boston Post Rd, East Lyme, CT 06333-1606 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528695830 | Michael J Solla | Chiropractor | 1901 Cypress Dr, Danbury, CT 06811-2684 | 2020-03-25 |
| 1477184760 | Alexis Kantor | Chiropractor | 45 Harbor Dr, Stamford, CT 06902-7405 | 2020-01-27 |
| 1194365239 | Jacob Riley Calder | Chiropractor | 71 Bradley Rd Unit 5, Madison, CT 06443-2662 | 2020-01-07 |
| 1508404286 | Kevin Lennehan | Chiropractor | 300 Alumni Rd, Newington, CT 06111-1868 | 2019-12-13 |
| 1114565033 | David Craig Waltzer | Chiropractor | 132 Federal Rd Ste 103, Danbury, CT 06811-4099 | 2019-12-11 |
| 1700434800 | Nadine Weingarten | Chiropractor | 399 Cascade Rd, Stamford, CT 06903-3029 | 2019-09-01 |
| 1356996250 | Astrid Aime Baldrich-sanchez | Chiropractor | 22 Pine St Ste 216, Bristol, CT 06010-6950 | 2019-08-07 |
| 1275187833 | Kena Aiden Mcdermott | Chiropractor | 1216 Farmington Ave Ste 304, West Hartford, CT 06107-2673 | 2019-07-31 |
| 1821640368 | R Mark Pappas, LLC | Chiropractor | 502 Main Street, West Haven, CT 06516-7307 | 2019-07-15 |
| 1740832963 | Tyler Van Steenbergen | Chiropractor | 9 Sharon Rd, Lakeville, CT 06039-2107 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
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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.