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DETOX VIRTUALLY
NPI 1912833948
Nurse Practitioner - Psychiatric/Mental Health in Niantic, CT

Active since June 18, 2026
15 PONTIAC DR, NIANTIC, CT 06357(860) 389-7367 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Detox Virtually NPPES

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

DETOX VIRTUALLY (NPI 1912833948) is a healthcare organization registered as a psychiatric/mental health in Niantic, Connecticut and active in the NPI registry since June 2026. The organization lists Shelley Halligan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912833948
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameDETOX VIRTUALLY
Location Address15 PONTIAC DRNiantic, CT 06357-2835
Mailing Address15 Pontiac DrNiantic, CT 06357-2835 · (860) 389-7367
Phone(860) 389-7367
Organization SubpartNo
Authorized OfficialShelley HalliganCeo · (860) 389-7367
Enumeration DateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1912833948 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
15 PONTIAC DR, Niantic, CT 06357
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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

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 Detox Virtually's NPI number?

The NPI number for Detox Virtually is 1912833948. It was assigned to this organization in the NPPES registry on June 18, 2026.

Where is Detox Virtually located?

Detox Virtually is located at 15 Pontiac Dr, Niantic, CT 06357. The listed phone number is (860) 389-7367.

What is Detox Virtually's specialty?

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

When was this NPI record last updated?

The NPPES record for Detox Virtually was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.