BODY INTELLIGENCE HOLISTIC HEALTH CENTER, LLC (NPI# 1881006401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881006401 |
| Entity Type | Organization |
| Organization Name | BODY INTELLIGENCE HOLISTIC HEALTH CENTER, LLC |
| Practice Address |
90 Sands Pl Stratford CT 06615-6661 |
| Practice Telephone | 2037103937 |
| Mailing Telephone | 2037103937 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |
| Authorized Official Name | STEPHANIE SOALT (OWNER) |
| Authorized Official Telephone | 2037103937 |
| Authorized Official Credential | ND |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
90 SANDS PL |
| City | STRATFORD |
| State | CT |
| Zip Code | 06615-6661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154713832 | Lauren Pessin | Behavioral Analyst | 55 Sutton Ave, Stratford, CT 06615 | 2015-03-04 |
| 1801223748 | Steven Flathers | Occupational Therapist | 27 Eunice Parkway, Stratford, CT 06615 | 2013-10-10 |
| 1700219243 | Stratford Orthodontics | Dentist | 2499 Main Street, Stratford, CT 06615 | 2013-08-20 |
| 1417380981 | Debra L Tomaselli | Marriage & Family Therapist | 2296 Main Street, 2nd Floor, Stratford, CT 06615 | 2013-08-19 |
| 1003199217 | Katherine Bajda | Nurse Practitioner | 837 Prospect Drive, Stratford, CT 06615 | 2011-09-23 |
| 1336326495 | Dammy Bamisile | Social Worker | 100 Center Street, Shelton, CT 06615 | 2008-01-30 |
| 1487868550 | Mark Rabin | Medical Genetics, Ph.D. Medical Genetics | Dianon Systems, 200 Watson Boulevard, Stratford, CT 06615 | 2007-05-09 |
| 1205958675 | Sophia Leonida M.d., PC | Clinic/Center | 2505 Main St., Stratford, CT 06615 | 2007-04-04 |
| 1558488213 | Fatima Eslami-varzaneh | Pathology | 200 Watson Boulvard, Stratford, CT 06615 | 2007-03-26 |
| 1881729804 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 555 Lordship Boulevard, Stratford, CT 06615 | 2007-02-22 |
| Find all providers in zip 06615 | ||||
| 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 |
|---|---|---|---|---|
| 1164959276 | Steven Barrientos | Family Medicine | 42 E Laurel Rd Ste 2100a, Stratford, NJ 08084-1354 | 2017-05-19 |
| 1902259393 | Ameena Javed Jiwani | Family Medicine | Rowan Som 42 E Laurel Road, Ste. 2100a, Stratford, NJ 08084 | 2016-07-20 |
| 1962536888 | Brahman Bernard Levy | Family Medicine | 37 S White Horse Pike, Stratford, NJ 08084-1520 | 2007-03-15 |
| 1629178843 | Randolph Ramirez | Family Medicine | 2103 Main Street, Stratford, CT 06115 | 2006-09-25 |
| 1043325566 | Karen Ann Shulman | Family Medicine | 101 Wisconsin Ave, Stratford, WI 54484 | 2006-08-21 |
| 1518919893 | Hope S Honig | Family Medicine | 119 E Laurel Rd, Stratford, NJ 08084-1324 | 2006-05-16 |
| 1790765055 | Rowansom Dept of Family Practice | Family Medicine | 42 East Laurel Road, Udp, Suite 2100, Stratford, NJ 08084 | 2006-01-20 |
| 1295715787 | John F Bertagnolli Jr. | Family Medicine | 42 E Laurel Rd Ste 1800, Stratford, NJ 08084-1338 | 2006-01-19 |
| 1538149646 | Kathryn C Lambert | Family Medicine | 42 Laurel Rd E, Udp #2100, Stratford, NJ 08084-1354 | 2006-01-17 |
| 1295727121 | Todd Schachter | Family Medicine | 42 E Laurel Rd Ste 2100, Stratford, NJ 08084-1354 | 2005-08-17 |
| Find all providers in STRATFORD | ||||
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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.