Integrative Health and Healing LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INTEGRATIVE HEALTH AND HEALING LLC

Doing business as

Integrative Health and Healing LLC

Practice address

555 Highland Ave
Cheshire, CT 06410-2205

Phone

(203) 668-9648

NPI assigned

Feb 18, 2020

Last updated

Feb 18, 2020By 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

Mrs. Judy K Hennessy, LCSWNPI 1356733778

Title

Owner

Phone

(203) 668-9648

Specialties & licenses 1

Addresses

Other names 1

• Integrative Health and Healing LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

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.

• Judy K Hennessy, LCSW

  • Clinical Social Worker
  • West Haven, CT
  • NPI 1356733778
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1346873346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185884",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065180884",
            "telephone_number": "203-668-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HIGHLAND AVE",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102205",
            "telephone_number": "203-668-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH AND HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "HENNESSY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-668-9648",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Health and Healing LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elisabeth Hyde, CNM, MSN
• Carol Anne Hylinski
• Sara Iadarola, MS, LPC, NCC
• Alexa Imme
• Inner Calm Counseling LLC
• Sameer Moulana Iqbal
• J.T. Bristol, M.D., LLC
• Jack Romano, LMFT, LLC
• Brittney R Jackson, MSW, MBA, LCSW
• Cindy B Jackson, PT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.