Holistic Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

005149 Issued in CT

Legal business name

HOLISTIC SERVICES LLC

Practice address

969 W Main St
1 D
Waterbury, CT 06708-2653

Phone

(203) 525-8052

NPI assigned

Jan 23, 2015

Organization subpart

No

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

Authorized official

Name

Lori Pelosi, APRNNPI 1649521352

Title

Owner

Phone

(203) 525-8052

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Pelosi, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Milford, CT
  • NPI 1649521352
  Medicare reassignment NPD Authorized official
• Allyson Leary Modica, LCSW

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1043289762
  NPD (past)

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1871983239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 W MAIN ST STE 1D",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082667",
            "telephone_number": "203-465-6537",
            "fax_number": "203-758-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 W MAIN ST",
            "address_2": "1 D",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082653",
            "telephone_number": "203-525-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "PELOSI",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-525-8052",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "005149",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "005149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008057481",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Hogan, LCSW
• Sarah Hogrefe
• Kaitlin Frances Holihan, APRN
• Holistic Psychotherapy Services, LLC
• Holistic Services Inc
• Andrea Hollis
• Stacy D. Holtz, PA-C
• Home of Hope, Inc.
• Homecare Professionals
• Thomas Horan

• Psychiatric/Mental Health Nurse Practitioner in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.