Chelsea Gouldsbrough

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Practice address

63 E Center St
Manchester, CT 06040-5221

Phone

(860) 281-1133

NPI assigned

Jul 13, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1003653270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ACADEMY ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404411",
            "telephone_number": "860-593-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 E CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405221",
            "telephone_number": "860-281-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULDSBROUGH",
        "first_name": "CHELSEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Gordon
• Samantha Gordon
• Shakina M Gordon, MS, LPC
• Zyann J Gordon
• Gorgeous Smiles Dental, PC
• Grace Health PLLC
• Howard Steven Grad, OD
• Ian Graf, DO
• Erin Marie Graffam, LPC
• Jarvis D Graham

• Mental Health Clinic/Center (Including Community Mental Health Center) in Manchester, CT
• Providers in Manchester, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.