NPIMap

Organization Active NPI

Inner Vibrance, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Windsor, CT
National Provider Identifier
1497218101
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INNER VIBRANCE, LLC
Practice address
360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700
Phone
(860) 281-7687
Fax
(860) 910-1411
NPI assigned
Apr 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Authorized official

Name
Kaitlin SchmidtNPI 1003359738
Title
Owner
Phone
(860) 281-7687

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700

Mailing address

360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700
Phone (860) 281-7687

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.practicefusion.com Health Information Exchange (HIE)
CONNECT URL www.practicefusion.com Health Information Exchange (HIE)

National Provider Directory

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": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1497218101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 BLOOMFIELD AVE STE 301",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952700",
            "telephone_number": "860-281-7687",
            "fax_number": "860-910-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 BLOOMFIELD AVE STE 301",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952700",
            "telephone_number": "860-281-7687",
            "fax_number": "860-910-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER VIBRANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-281-7687"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Practice Fusion",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Wells St Ste 2J",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061032928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Practice Fusion",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "360 Bloomfield Ave Ste 301",
            "city": "Windsor",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060952700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.