The Creative Wellness Center of Chester

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE CREATIVE WELLNESS CENTER OF CHESTER

Practice address

15 N Main St
Chester, CT 06412-1201

Phone

(860) 526-9355

NPI assigned

Mar 5, 2009

Last updated

Mar 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen McKinnon Bisson, LCSW

Title

Owner

Phone

(860) 526-9355

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1184864936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N MAIN ST",
            "city": "CHESTER",
            "state": "CT",
            "postal_code": "064121201",
            "telephone_number": "860-526-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N MAIN ST",
            "city": "CHESTER",
            "state": "CT",
            "postal_code": "064121201",
            "telephone_number": "860-526-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CREATIVE WELLNESS CENTER OF CHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "BISSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MCKINNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-526-9355",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Chester, CT
• Providers in Chester, 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 Mar 5, 2009; 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.