HOLISTIC SERVICES INC (NPI# 1699218602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699218602 |
| Entity Type | Organization |
| Organization Name | HOLISTIC SERVICES INC |
| Practice Address |
969 W Main St Suite 1 D Waterbury CT 06708-2653 |
| Practice Telephone | 2035960857 |
| Practice Fax Number | 2039000672 |
| Mailing Telephone | 2035960857 |
| Mailing Fax Number | 2039000672 |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |
| Authorized Official Name | LORI PELOSI (CO OWNER) |
| Authorized Official Telephone | 2035960857 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376824730 | Holistic Services Inc | Community/Behavioral Health | 1405 Yanceyville St, Suite E, Greensboro, NC 27405-6938 | 2011-08-30 |
| Street Address |
969 W MAIN ST SUITE 1 D |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083697114 | Jeffrey Howard Boyd | Psychiatry & Neurology | 969 W Main St, Waterbury, CT 06708-2653 | 2005-11-22 |
| 1225685811 | Thelma Afua Simpaa Osei | Nurse Practitioner | 969 W Main St, Waterbury, CT 06708-2653 | 2019-08-20 |
| 1669035390 | Jeffrey H. Boyd M.d.and Associates, Pllc | Psychiatry & Neurology | 969 W Main St, Waterbury, CT 06708-2653 | 2019-04-18 |
| 1821577487 | Brass City Counseling. | Social Worker | 969 W Main St, Waterbury, CT 06708-2653 | 2018-08-14 |
| 1558880435 | Kate Rooney | Nurse Practitioner | 969 W Main St, Waterbury, CT 06708-2653 | 2017-09-12 |
| 1861924292 | Rejuvenating Mind & Body, LLC | Social Worker | 969 W Main St, Suite 2g, Waterbury, CT 06708-2653 | 2017-04-03 |
| 1265972681 | Latanya Bizor, Lcsw,llc | Social Worker | 969 W Main St, Ste 2g, Waterbury, CT 06708-2653 | 2017-03-04 |
| 1497101265 | Advance Practice Resource Network LLC | Nurse Practitioner | 969 W Main St, Suite 1 D, Waterbury, CT 06708-2653 | 2016-05-10 |
| 1902269194 | Ronald Baptiste | Counselor | 969 W Main St, Waterbury, CT 06708-2653 | 2016-04-04 |
| 1871983239 | Holistic Services LLC | Nurse Practitioner | 969 W Main St, 1 D, Waterbury, CT 06708-2653 | 2015-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072033 | Sarah Michelle Whalen | Nurse Practitioner | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2020-04-23 |
| 1720616246 | Susan Antoinette Pappas | Nurse Practitioner | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2020-03-30 |
| 1578022166 | Daedly Potusek | Nurse Practitioner | 80 Phoenix Ave, Waterbury, CT 06702-1418 | 2019-03-14 |
| 1124592274 | Deon Johnson-allen | Nurse Practitioner | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2019-01-11 |
| 1356818421 | Olanike Oyeyemi Idowu | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-10-26 |
| 1104344506 | Kimberly Burns | Nurse Practitioner | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2017-09-06 |
| 1114462561 | Shantelle Brokaw | Nurse Practitioner | 128 Cedar Ave, Waterbury, CT 06705-2700 | 2016-12-21 |
| 1407201957 | Alexandria Smith | Nurse Practitioner | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2016-05-03 |
| 1134504715 | Nicholas James O'brien | Nurse Practitioner | 60 N Main St, 3rd Floor, Waterbury, CT 06702-1443 | 2015-07-24 |
| 1225461221 | Alyson Nicolosi | Nurse Practitioner | 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 | 2013-08-13 |
| Find all providers in WATERBURY | ||||
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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.