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CONNECTICUT LIFESTYLE MEDICINE
NPI 1619527959
Family Medicine in Middletown, CT

Active since September 18, 2019
955 S MAIN ST, MIDDLETOWN, CT 06457(516) 993-2847 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2024, Sep 18, 2019 (2 updates tracked since 2019).

About Connecticut Lifestyle Medicine NPPES

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

CONNECTICUT LIFESTYLE MEDICINE (NPI 1619527959) is a healthcare organization registered as a family medicine in Middletown, Connecticut and active in the NPI registry since September 2019. The organization lists Catherine Orourke, Owner, Nurse, as its authorized official.

NPPES Registry Identity

NPI1619527959
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCONNECTICUT LIFESTYLE MEDICINE
Location Address955 S MAIN STMiddletown, CT 06457-5153
Mailing Address955 S Main St # B201Middletown, CT 06457-5153 · (860) 788-6573
Phone(516) 993-2847
Organization SubpartNo
Authorized OfficialCatherine OrourkeOwner, Nurse · (860) 788-6573
Enumeration DateSeptember 18, 2019
Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1619527959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
955 S MAIN ST, Middletown, CT 06457
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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

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DINA R BOLELLA
Counselor
955 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 731-5522
DIANA EVANS DASH LPC
Counselor (Professional)
955 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 617-4305
KARINA RIVERA-GARCIA
Counselor
955 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 894-2399
TALITHA DAVIS
Counselor
955 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 894-2399
THE CONNECTION INC.
Clinic/Center (Adult Mental Health)
955 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 343-5500
SCOTTMICHAEL FARREY
Case Manager/Care Coordinator
955 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 343-5500
DIANE CONNELL
Case Manager/Care Coordinator
955 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 343-5500
MICHELE SALONIA BOCCALATTE D.M.D
Dentist (General Practice)
955 S MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-6737

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 Connecticut Lifestyle Medicine's NPI number?

The NPI number for Connecticut Lifestyle Medicine is 1619527959. It was assigned to this organization in the NPPES registry on September 18, 2019.

Where is Connecticut Lifestyle Medicine located?

Connecticut Lifestyle Medicine is located at 955 S Main St, Middletown, CT 06457. The listed phone number is (516) 993-2847.

What is Connecticut Lifestyle Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Connecticut Lifestyle Medicine was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.