Quaker Hill Clinical Therapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

QUAKER HILL CLINICAL THERAPY, LLC

Practice address

258 Bloomingdale Rd
Quaker Hill, CT 06375-1306

Phone

(808) 342-7724

NPI assigned

Nov 15, 2021

Organization subpart

No

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

Authorized official

Name

Eileen Boland, LCSWNPI 1770007148

Title

Clinical Therapist

Phone

(808) 342-7724

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eileen Ryan Boland, LCSW

  • Clinical Social Worker
  • Ewa Beach, HI
  • NPI 1770007148
  NPD Authorized official

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1013673862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "QUAKER HILL",
            "state": "CT",
            "postal_code": "063750296",
            "telephone_number": "808-342-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 BLOOMINGDALE RD",
            "city": "QUAKER HILL",
            "state": "CT",
            "postal_code": "063751306",
            "telephone_number": "808-342-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAKER HILL CLINICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "BOLAND",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "808-342-7724",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Silva, LLC
• Claudia Mejia, RDN, CDN, CLC
• Tadeka Moore
• Natalie Porter LPC
• Deborah Piacenza, RN
• Stephanie Marie Rodzewicz, OTD, OTR/L
• Farida Asamau Samed, RN
• Holly Silva, PSY.D.
• Sky's the Limit Therapy, LLC
• Stephen Diana, LMFT, LLC

• Community/Behavioral Health Agency in Quaker Hill, CT
• Providers in Quaker Hill, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.