Active NPI
Spiralpath Healing Center, LLC.
- Holistic Clinical Nurse Specialist
- Norwalk, CT
National Provider Identifier
1053709535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Holistic Clinical Nurse Specialist
- License
- 002713
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jill Goldberg, APRN,CNS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F380079 | NY | |
| Holistic Clinical Nurse Specialist | 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 DirectoryPractitioners & 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
- Speech & Language Consultants, LLC
- James Speer
- Odette Spencer, PMHNP
- Eva C Spijkers, LMFT
- Dhani C Spinola, B.A.
- Spirit Clinic LLC (Spirit Clinic)
- Alicia Lamitie Spiro, PT
- Sportsmed Acupuncture of Connecticut (SportsMed Physical Therapy)
- Sportsmed Chiropractic of Connecticut, PLLC (SportsMed Physical Therapy)
- Sportsmed PT of Connecticut PLLC
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.