Connecticut Holistic and Integrative Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

031252 Issued in CT

Legal business name

CONNECTICUT HOLISTIC AND INTEGRATIVE MEDICINE

Practice address

1057 Poquonnock Road
Suite 3
Groton, CT 06340-6630

Phone

(860) 445-2130

Fax

(860) 446-0883

NPI assigned

Sep 10, 2009

Last updated

Sep 10, 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

Ms. Rebecca Ruth Murray, APRN

Title

Clinical Director

Phone

(860) 445-2130

Specialties & licenses 2

Addresses

Other names 1

• CHAIM Other name

Locations

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1326371253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 POQUONNOCK ROAD",
            "address_2": "SUITE 3",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406630",
            "telephone_number": "860-445-2130",
            "fax_number": "860-446-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 POQUONNOCK ROAD",
            "address_2": "SUITE 3",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406630",
            "telephone_number": "860-445-2130",
            "fax_number": "860-446-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT HOLISTIC AND INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "860-445-2130",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "031252",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "APRN000126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHAIM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Compassionate Couch Counseling Services
• Complete Care at Groton Regency LLC
• Complete Care at Groton Regency LLC
• Connecticut CVS Pharmacy LLC (CVS Pharmacy # 00377)
• Connecticut Dental Groups (Groton Dental Group)
• Connecticut Institute of Behavioral Health Inc.
• Cristina Connell
• Kathryn J Connor, PA-C
• Keith Maurice Connor II
• John Allan Connors, IDC

• Internal Medicine Physician in Groton, CT
• Providers in Groton, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.