HOLISTIC BEHAVIORAL HEALTH OF CONNECTICUT LLC
NPI 1043970387
Nurse Practitioner - Psychiatric/Mental Health in Bloomfield, CT

Q: What is Holistic Behavioral Health Of Connecticut LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since December 28, 2021

116 COTTAGE GROVE RD STE 110, BLOOMFIELD, CT 06002(860) 904-5433(860) 904-5456 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Holistic Behavioral Health Of Connecticut Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLISTIC BEHAVIORAL HEALTH OF CONNECTICUT LLC (NPI 1043970387) is a healthcare organization registered as a psychiatric/mental health in Bloomfield, Connecticut and active in the NPI registry since December 2021. The organization lists Okechukwu C Chidiadi, Owner, as its authorized official.

NPPES Registry Identity

NPI1043970387

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameHOLISTIC BEHAVIORAL HEALTH OF CONNECTICUT LLC

Location Address116 COTTAGE GROVE RD STE 110Bloomfield, CT 06002-3200

Mailing Address116 Cottage Grove Rd Ste 110Bloomfield, CT 06002-3200 · (860) 869-5030

Phone(860) 904-5433

Fax(860) 904-5456

Organization SubpartNo

Authorized OfficialOkechukwu C ChidiadiOwner · (608) 695-0308

Enumeration DateDecember 28, 2021

NPPES CertifiedDecember 28, 2021

✔ NPI 1043970387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

116 COTTAGE GROVE RD STE 110, Bloomfield, CT 06002

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holistic Behavioral Health Of Connecticut Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Holistic Behavioral Health Of Connecticut LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Okechukwu Chidiadi, PMHNP

Nurse Practitioner

NPI 1457922692

92 MARK DR
South Windsor, CT 06074

(860) 869-5030

✔ PECOS✔ Accepts Medicare8.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holistic Behavioral Health Of Connecticut LLC's NPI number?

The NPI number for Holistic Behavioral Health Of Connecticut LLC is 1043970387. It was assigned to this organization in the NPPES registry on December 28, 2021.

Where is Holistic Behavioral Health Of Connecticut LLC located?

Holistic Behavioral Health Of Connecticut LLC is located at 116 Cottage Grove Rd Ste 110, Bloomfield, CT 06002. The listed phone number is (860) 904-5433.

What is Holistic Behavioral Health Of Connecticut LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Holistic Behavioral Health Of Connecticut LLC enrolled in Medicare?

Yes. Holistic Behavioral Health Of Connecticut LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Holistic Behavioral Health Of Connecticut LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Holistic Behavioral Health Of Connecticut LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Holistic Behavioral Health Of Connecticut LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Holistic Behavioral Health Of Connecticut LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holistic Behavioral Health Of Connecticut LLC was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.