=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831057553
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LITCHFIELD HEALTH, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2026
-----------------------------------------------------
Last Update Date | 01/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 105 OLD GRASSY HILL RD
-----------------------------------------------------
City | WOODBURY
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06798-2635
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 571-249-2493
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 105 OLD GRASSY HILL RD
-----------------------------------------------------
City | WOODBURY
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06798-2635
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 571-249-2493
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DR. ANDREW F KOHLER
-----------------------------------------------------
Credential | MD, MBA
-----------------------------------------------------
Telephone | 571-249-2493
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------