Vincent a Hollister LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

VINCENT A HOLLISTER LLC

Practice address

41 Mechanic St
Windsor, CT 06095-2545

Phone

(860) 716-5998

NPI assigned

Apr 5, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Vincent A Hollister, LCSW- CT, LICSW-MA

Title

Owner

Phone

(860) 716-5998

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1487116521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HIGHLAND VIEW DR",
            "city": "SOMERS",
            "state": "CT",
            "postal_code": "060711557",
            "telephone_number": "860-716-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MECHANIC ST",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952545",
            "telephone_number": "860-716-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT A HOLLISTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "HOLLISTER",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-716-5998",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW- CT, LICSW-MA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008057276",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luisell M Velazquez, COTA
• Kimberly Vera Salinas
• Vincent M Viani
• Vibrant Psyche LLC
• Tori Villanova
• Reeva Viroja
• Elizabeth MB Visone, DNP, APRN
• Brian P Vo, MS,PT
• VT Care for Elderly LLC
• Candice Wade

• Adult Mental Health Clinic/Center in Windsor, CT
• Providers in Windsor, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.