Organization Active NPI

Wholeness Insight Psychotherapy LLC

  • Clinical Social Worker
  • Mystic, CT
National Provider Identifier
1407787765
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WHOLENESS INSIGHT PSYCHOTHERAPY LLC
Practice address
11 Main St Unit 11-3G
Mystic, CT 06355-3654
Phone
(860) 800-3412
NPI assigned
May 26, 2026
Last updated
May 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Daniel Brown, LCSWNPI 1306553482
Title
Owner
Phone
(860) 800-3412

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

11 Main St Unit 11-3G
Mystic, CT 06355-3654

Mailing address

655 Long Cove Rd
Gales Ferry, CT 06335-2007
Phone (860) 800-3412

National Provider Directory

National Provider Directory

Locations

11 Main St
Unit 113G
Mystic, CT 06355
Phone (860) 800-3412

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1407787765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 LONG COVE RD",
            "city": "GALES FERRY",
            "state": "CT",
            "postal_code": "063352007",
            "telephone_number": "860-800-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAIN ST UNIT 11-3G",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063553654",
            "telephone_number": "860-800-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLENESS INSIGHT PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-800-3412",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.