MICHAEL LOUIS FIDALGO-PENNSS (NPI# 1144820374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144820374 |
| Entity Type | Individual |
| Full Name | MICHAEL LOUIS FIDALGO-PENNSS |
| Practice Address |
249 Exchange St Chicopee MA 01013-1679 |
| Mailing Address |
92 Avery St Springfield MA 01119-1106 |
| Practice Telephone | 4135401234 |
| Mailing Telephone | 4138611288 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Street Address |
249 EXCHANGE ST |
| City | CHICOPEE |
| State | MA |
| Zip Code | 01013-1679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497825764 | Maryann Palchak | Social Worker | 249 Exchange St, Chicopee, MA 01013-1679 | 2006-11-08 |
| 1104426386 | Aaron Brandes | Case Manager/Care Coordinator | 249 Exchange St, Chicopee, MA 01013-1679 | 2020-10-28 |
| 1962026633 | Stephanie Nicole Lepage | Counselor | 249 Exchange St, Chicopee, MA 01013-1679 | 2020-05-29 |
| 1851924641 | Diego Leonardo Dominguez | Counselor | 249 Exchange St, Chicopee, MA 01013-1679 | 2020-02-19 |
| 1659919876 | Tammi Marie O'brien | Counselor | 249 Exchange St, Chicopee, MA 01013-1679 | 2019-12-18 |
| 1982255105 | Sally Borgatti | Student in an Organized Health Care Education/Training Program | 249 Exchange St, Chicopee, MA 01013-1679 | 2019-09-28 |
| 1285281683 | Samantha Rose Allen | Counselor | 249 Exchange St, Chicopee, MA 01013-1679 | 2019-08-20 |
| 1992350334 | Jason Ryan Romanelli | Student in an Organized Health Care Education/Training Program | 249 Exchange St, Chicopee, MA 01013-1679 | 2019-08-02 |
| 1225696222 | Daniel Lis | Counselor | 249 Exchange St, Chicopee, MA 01013-1679 | 2019-06-04 |
| 1467018994 | Monika Urbanowicz | Student in an Organized Health Care Education/Training Program | 249 Exchange St, Chicopee, MA 01013-1679 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437781739 | Jose Wint | Counselor | 10 Center St Chicopee Massachusetts 01013, Chicopee, MA 01013 | 2020-02-05 |
| 1891277117 | Abbey Lucey Tenczar | Social Worker | 720 Meadow Street, Chicopee, MA 01013 | 2018-09-04 |
| 1427572734 | Sarah Marie Pennington | Social Worker | 78 Wilson Ave., Chicopee, MA 01013 | 2017-07-28 |
| 1407245095 | Ronald Edgardo Ramos Garcia Sr. | Speech-Language Pathologist | 121 Steele St, 3rd Floor, Chicopee, MA 01013 | 2015-01-20 |
| 1578988796 | Stephanie Grandmont | Physical Therapy Assistant | 77 Beesley Ave, Chicopee, MA 01013 | 2014-02-25 |
| 1447692041 | Samara Lynn Ferreira | Counselor | 459 Olfield Rd, Apt 1, Chicopee, MA 01013 | 2013-07-24 |
| 1235449505 | Natalia Vasilenko | Home Health | 36 Melvin St, Chicopee, MA 01013 | 2010-10-20 |
| 1639307143 | Catherine R Moriarty | Pharmacist | 1-5 St. James Avenue, Chicopee, MA 01013 | 2009-06-24 |
| 1235391186 | Aurora Melendez | Social Worker | 141 East Main Street, Chicopee, MA 01013 | 2008-07-01 |
| 1598731093 | Gloria Jean Krason | Podiatrist | 5 Spring St, Chicopee, MA 01013 | 2006-02-24 |
| Find all providers in zip 01013 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948595 | Holyoke Health Center, Inc | Clinic/Center | 505 Front Street, Chicopee, MA 01013-1246 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083171805 | Community Health Center of Cape Cod, Inc. | Clinic/Center | 115 Scranton Ave, Falmouth, MA 02540-3560 | 2019-02-28 |
| 1811490790 | Trustees of Tufts College | Clinic/Center | 200 Harrison Ave Fl 2, Boston, MA 02111 | 2018-03-16 |
| 1073993937 | Greater New Bedford Community Health Center, Inc. | Clinic/Center | 135 Marion Rd, Wareham, MA 02571-1423 | 2015-06-05 |
| 1619369022 | Melissa Quast | Clinic/Center | 151 Run Hill Rd, Brewster, MA 02631-2374 | 2015-02-22 |
| 1992001457 | Mashpee Service Unit/indian Health Service | Clinic/Center | 483 Great Neck Road South, Building 002-health Clinic, Mashpee, MA 02649 | 2011-02-01 |
| 1407086937 | Springfield Dept of Health & Human Services | Clinic/Center | 769 Worthington Street, Hsh Dental Clinic, Springfeld, MA 01105-1112 | 2009-07-17 |
| 1619143500 | Lowell General Hospital | Clinic/Center | 295 Varnum Ave Rm 75, Lowell, MA 01854-2134 | 2008-05-01 |
| 1891816930 | Sunrise-amanecer Inc. | Clinic/Center | 19 Milford St, Springfield, MA 01107-1332 | 2007-04-03 |
| 1033257522 | Lemuel Shattuck Hosp | Clinic/Center | 9 Brewer St, Jamaica Plain, MA 02130-4032 | 2007-02-05 |
| 1932266533 | Roxbury Comprehensive Community Health Center, Inc. | Clinic/Center | 435 Warren St, Roxbury, MA 02119-1833 | 2007-01-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.