Healthcare Provider Details

I. General information

NPI: 1992215446
Provider Name (Legal Business Name): TAPESTRY TELEHEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2017
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 CHERRY ST
CHILLICOTHEE OH
45601-2301
US

IV. Provider business mailing address

99 HAWLEY LN STE 1102
STRATFORD CT
06614-1204
US

V. Phone/Fax

Practice location:
  • Phone: 203-666-8145
  • Fax: 203-456-9793
Mailing address:
  • Phone: 203-666-8145
  • Fax: 203-456-9793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID CHESS
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 203-666-8145