HOLISTIC SERVICES LLC (NPI# 1871983239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871983239 |
| Entity Type | Organization |
| Organization Name | HOLISTIC SERVICES LLC |
| Practice Address |
969 W Main St 1 D Waterbury CT 06708-2653 |
| Mailing Address |
969 W Main St Ste 1d Waterbury CT 06708-2667 |
| Practice Telephone | 2035258052 |
| Mailing Telephone | 2034656537 |
| Mailing Fax Number | 2037581594 |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-09-10 |
| Authorized Official Name | LORI PELOSI (OWNER) |
| Authorized Official Telephone | 2035258052 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 005149 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
005149 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008057481 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255885323 | Holistic Services LLC | Community/Behavioral Health | 777 J Clyde Morris Blvd, Newport News, VA 23601-1513 | 2016-08-06 |
| 1407215650 | Holistic Services LLC | Community/Behavioral Health | 3005 Scotty Hill Rd, Fayetteville, NC 28303-3915 | 2016-02-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HOLISTIC SERVICES LLC | 5305 River Rd North, Ste B, Keizer, OR 97303 |
| Street Address |
969 W MAIN ST 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 |
| 1699218602 | Holistic Services Inc | Social Worker | 969 W Main St, Suite 1 D, Waterbury, CT 06708-2653 | 2016-11-22 |
| 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 |
| 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.