Whalio Doctors

NPI 1053086587

Aspire365 Connecticut

Organisation Addiction Medicine (Preventive Medicine) Physician New Haven, CT

Practice location

Address
679 State St, New Haven, CT 06511-6509
Phone
(385) 352-9696
Mailing address
9350 S 150 E STE 320, Sandy, UT 84070-2707

Authorised official

Name
Zachary Jenson
Title
Ceo
Phone
(801) 556-1977

Registered specialties (5)

Addiction Medicine (Preventive Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083A0300X
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X
Addiction (Substance Use Disorder) Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TA0400X
Addiction (Substance Use Disorder) Registered Nurse
Nursing Service Providers Taxonomy 163WA0400X
Addiction Medicine (Psychiatry & Neurology) Physician
Allopathic & Osteopathic Physicians Taxonomy 2084A0401X

Registry record

NPI
1053086587
Entity type
Organization
NPI issued
16 Aug 2021
Record last updated
14 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.