NPIMap

Organization Active NPI

Dr. Kellyn Misset ND, Lac, PLLC

  • Clinic/Center
  • Monroe, CT
National Provider Identifier
1346743754
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DR. KELLYN MISSET ND, LAC, PLLC
Doing business as
Clarity Integrative Medicine
Practice address
755 Main St Ste 8B
Monroe, CT 06468-2830
Phone
(206) 547-5959
NPI assigned
Mar 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Authorized official

Name
Dr. Kellyn Misset, ND, LACNPI 1740534247
Title
Owner
Phone
(203) 521-1690

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

755 Main St Ste 8B
Monroe, CT 06468-2830

Mailing address

755 Main St Ste 8B
Monroe, CT 06468-2830
Phone (203) 304-6043

Other names 1

  • Clarity Integrative Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clarity Integrative Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1346743754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MAIN ST STE 8B",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682830",
            "telephone_number": "203-304-6043",
            "fax_number": "877-824-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MAIN ST STE 8B",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682830",
            "telephone_number": "206-547-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KELLYN MISSET ND, LAC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "MISSET",
        "authorized_official_first_name": "KELLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-521-1690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarity Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.