Organization Active NPI

Guilford Holistic Health Practitioners, LLC

  • Medical Specialty Clinic/Center
  • Guilford, CT
National Provider Identifier
1275012148
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
000058 Issued in CT
Legal business name
GUILFORD HOLISTIC HEALTH PRACTITIONERS, LLC
Practice address
5 Durham Rd Ste B6
Guilford, CT 06437
Phone
(203) 453-1906
Fax
(203) 453-2012
NPI assigned
Aug 10, 2018
Last updated
Aug 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Authorized official

Name
Dr. Jeffrey Klass, NDNPI 1609972819
Title
President
Phone
(203) 453-1906

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
Medical Specialty Clinic/Center 261QM2500X 000058 CT Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

5 Durham Rd Ste B6
Guilford, CT 06437

Mailing address

5 Durham Rd Ste B6
Guilford, CT 06437-2076
Phone (203) 453-1906

National Provider Directory

National Provider Directory

Locations

5 Durham Rd
Ste B6
Guilford, CT 06437
Phone (203) 453-1906

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1275012148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DURHAM RD STE B6",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372076",
            "telephone_number": "203-453-1906",
            "fax_number": "203-453-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DURHAM RD STE B6",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "06437",
            "telephone_number": "203-453-1906",
            "fax_number": "203-453-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILFORD HOLISTIC HEALTH PRACTITIONERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "KLASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-453-1906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CT",
            "license": "000058",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.