NPIMap

Organization Active NPI

Holistic Services & Alternative Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, CT
National Provider Identifier
1992458566
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HOLISTIC SERVICES & ALTERNATIVE CARE
Practice address
320 Albany Tpke
Canton, CT 06019-2540
Phone
(860) 417-8633
Fax
(203) 347-3189
NPI assigned
Feb 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Nicholas James O'Brien, PMHNPNPI 1134504715
Title
Owner
Phone
(860) 417-8633

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

320 Albany Tpke
Canton, CT 06019-2540

Mailing address

PO Box 3
Norfolk, CT 06058-0003
Phone (860) 417-8633

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@holisticservices.com Direct

National Provider Directory

National Provider Directory

Locations

20 Main St
Oakville, CT 06779

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": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1992458566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3",
            "city": "NORFOLK",
            "state": "CT",
            "postal_code": "060580003",
            "telephone_number": "860-417-8633",
            "fax_number": "203-347-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 ALBANY TPKE",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192540",
            "telephone_number": "860-417-8633",
            "fax_number": "203-347-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC SERVICES & ALTERNATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-417-8633",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@holisticservices.com",
            "affiliation": "N",
            "endpointDescription": "Business Email that is Encrypted and HIPPA compliant for communicating patient information amongst providers.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "41 Greenwoods Road East",
            "city": "Norfolk",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.