Active NPI
Gracepoint Health Partners LLC
- Addiction Medicine (Internal Medicine) Physician
- Trumbull, CT
National Provider Identifier
1417873985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- Legal business name
- GRACEPOINT HEALTH PARTNERS LLC
- Practice address
- 634 Booth Hill Rd
Trumbull, CT 06611-4009 - Phone
- (860) 849-8913
- NPI assigned
- Jun 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Delores Bani, MD
- Title
- Owner
- Phone
- (860) 849-8913
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | Primary |
Addresses
Primary practice location
634 Booth Hill Rd
Trumbull, CT 06611-4009
Mailing address
634 Booth Hill Rd
Trumbull, CT 06611-4009
National Provider Directory
National Provider Directory- Tax ID family
- Gracepoint Health Partners LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Trumbull, CT
- NPI 1396677977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782691200000",
"number": "1417873985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 BOOTH HILL RD",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 BOOTH HILL RD",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114009",
"telephone_number": "860-849-8913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACEPOINT HEALTH PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-29",
"last_updated": "2026-06-29",
"certification_date": "2026-05-30",
"status": "A",
"authorized_official_last_name": "BANI",
"authorized_official_first_name": "DELORES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-849-8913",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.