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HOLISTIC ATHLETE LLC
NPI 1932834926
Psychologist - Exercise & Sports in Middlefield, CT

Active since July 22, 2022
24B ROSEMARY LN, MIDDLEFIELD, CT 06455(860) 877-6093 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holistic Athlete Llc NPPES

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

HOLISTIC ATHLETE LLC (NPI 1932834926) is a healthcare organization registered as an exercise & sports in Middlefield, Connecticut and active in the NPI registry since July 2022. The organization lists Zachary Etter, Ceo, as its authorized official.

NPPES Registry Identity

NPI1932834926
Entity TypeOrganization
Primary Taxonomy103TE1100X
Legal Business NameHOLISTIC ATHLETE LLC
Location Address24B ROSEMARY LNMiddlefield, CT 06455-1041
Mailing Address24b Rosemary LnMiddlefield, CT 06455-1041 · (860) 877-6093
Phone(860) 877-6093
Organization SubpartNo
Authorized OfficialZachary EtterCeo · (860) 877-6093
Enumeration DateJuly 22, 2022
NPPES CertifiedJuly 22, 2022
✔ NPI 1932834926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Exercise & SportsBehavioral Health & Social Service Providers
Taxonomy Code103TE1100X
Definition
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
24B ROSEMARY LN, Middlefield, CT 06455
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Holistic Athlete LLC's NPI number?

The NPI number for Holistic Athlete LLC is 1932834926. It was assigned to this organization in the NPPES registry on July 22, 2022.

Where is Holistic Athlete LLC located?

Holistic Athlete LLC is located at 24B Rosemary Ln, Middlefield, CT 06455. The listed phone number is (860) 877-6093.

What is Holistic Athlete LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Exercise & Sports, with taxonomy code 103TE1100X.

When was this NPI record last updated?

The NPPES record for Holistic Athlete LLC was last updated on July 22, 2022. 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.