Provider Demographics
NPI:1528863644
Name:CHAPPLE, GRIFFIN
Entity type:Individual
Prefix:MR
First Name:GRIFFIN
Middle Name:
Last Name:CHAPPLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 SAUGATUCK AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-6444
Mailing Address - Country:US
Mailing Address - Phone:203-349-5596
Mailing Address - Fax:
Practice Address - Street 1:228 SAUGATUCK AVE STE 2
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-6444
Practice Address - Country:US
Practice Address - Phone:203-349-5596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7235101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty