Organization Active NPI

Spiralpath Healing Center, LLC.

  • Holistic Clinical Nurse Specialist
  • Norwalk, CT
National Provider Identifier
1053709535
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Holistic Clinical Nurse SpecialistTaxonomy code 364SH1100X
License
002713 Issued in CT
Legal business name
SPIRALPATH HEALING CENTER, LLC.
Practice address
258 Main St
Norwalk, CT 06851-2748
Phone
(203) 247-9636
Fax
(203) 956-0570
NPI assigned
Jan 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Mrs. Jill Goldberg, APRN,CNSNPI 1386812238
Title
Owner/Provider
Phone
(203) 247-9636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X F380079 NY
Holistic Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SH1100X 002713 CT Primary

Addresses

Primary practice location

258 Main St
Norwalk, CT 06851-2748

Mailing address

1 Bonnybrook Rd
Norwalk, CT 06850-2703
Phone (203) 247-9636

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1053709535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BONNYBROOK RD",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068502703",
            "telephone_number": "203-247-9636",
            "fax_number": "203-956-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 MAIN ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068512748",
            "telephone_number": "203-247-9636",
            "fax_number": "203-956-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRALPATH HEALING CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "203-247-9636",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN,CNS"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380079",
            "primary": false
        },
        {
            "code": "364SH1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Holistic",
            "state": "CT",
            "license": "002713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.