MS. TRACIE MARA GAGNE


Address: 235 Chestnut St, Springfield, MA 01103-1100
Phone: 4137344978

MS. TRACIE MARA GAGNE (NPI# 1164724282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164724282
Entity Type Individual
Full Name MS. TRACIE MARA GAGNE
Practice Address 235 Chestnut St
Springfield
MA 01103-1100
Mailing Address 76 Village Drive
Apt. 331
Wethersfield
CT 06109
Practice Telephone 4137344978
Mailing Telephone 4137344978
Enumeration Date 2010-11-22
Last Update Date 2010-11-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist 1396871067 MA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 1396871067 05

Office Location

Street Address 235 CHESTNUT ST
City SPRINGFIELD
State MA
Zip Code 01103-1100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770621104 Heather Lynn Bachmann-baez Counselor 235 Chestnut St, Springfield, MA 01103-1100 2007-02-01
1093094138 Melissa Beaton Social Worker 235 Chestnut St, Springfield, MA 01103-1100 2011-08-08
1255619284 Ashley Cox Case Manager/Care Coordinator 235 Chestnut St, Springfield, MA 01103-1100 2011-07-25
1699061614 Sarah Ellen Walker Social Worker 235 Chestnut St, Springfield, MA 01103-1100 2011-06-28
1255623211 Esther D Dorival Case Manager/Care Coordinator 235 Chestnut St, Springfield, MA 01103-1100 2011-05-10
1053602193 Kathleen H Auble Social Worker 235 Chestnut St, Springfield, MA 01103-1100 2011-04-24
1841589009 Mary Elizabeth Holland-duggan Specialist/Technologist 235 Chestnut St, Springfield, MA 01103-1100 2011-03-28
1336453042 Laura Richardson Counselor 235 Chestnut St, Springfield, MA 01103-1100 2010-08-05
1770897571 Carmen M Martinez Counselor 235 Chestnut St, Springfield, MA 01103-1100 2010-08-04
1699091132 Wayne M Allen Social Worker 235 Chestnut St, Springfield, MA 01103-1100 2010-04-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336790609 Mahmoud Al Homsi Dentist 41 Taylor St. 4th Fl, Springfield, MA 01103 2019-09-26
1427521749 Pedro Cruz Student in an Organized Health Care Education/Training Program 95 Frank B Murray, Springfield, MA 01103 2019-01-09
1003325010 Amber Lynn Chisholm Counselor 130 Maple St., Springfield, MA 01103 2017-09-21
1750737391 Mande' Counseling Community/Behavioral Health 1365 Main St Suite 401, Springfield, MA 01103 2016-05-13
1528467248 Amanda M Galloway Physician Assistant 1038-1050 Main St, Springfield, MA 01103 2014-08-19
1114326113 Anne Marie Belinda Nurse Practitioner 1049 Main St., Springfield, MA 01103 2014-08-15
1538575295 Sunrise Behavioral Health Clinic, LLC Clinic/Center 95 Frank B. Murray Street, Springfield, MA 01103 2014-07-02
1548675093 Jessica Lynn Pasalacqua Dietitian, Registered 870 Main St., Springfield, MA 01103 2014-06-24
1003220443 Ivan Rosario Counselor 1695 Main St Ste400, Springfield, MA 01103 2014-06-13
1275964769 Leeandrew Rick Wilson Counselor 1695 Main St., Springfield, MA 01103 2013-12-09
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841789344 Felicia Ann Mcguinn Developmental Therapist 736 N Bruns Ln Apt B, Springfield, IL 62702-6668 2018-05-09
1447774757 Lisa Ann Rogers Developmental Therapist 2101 Lexington Dr, Apt 3, Springfield, IL 62704 2017-07-28
1235559568 Sarah Colburn Developmental Therapist 4927 Margaret Ave, Springfield, IL 62711-9239 2014-04-25
1790105757 Barbara Fiedler Developmental Therapist 209 Bellerive Rd, Springfield, IL 62704-6205 2014-04-17
1396081584 Louise Elizabeth Johnson Developmental Therapist 420 Yeoman Dr, Springfield, IL 62704-5240 2012-12-17
1568722015 Rebecca Ann Dobbs Developmental Therapist 927 N 8th St, Springfield, IL 62702-3939 2012-05-17
1588922397 Maria Christine Gallina Developmental Therapist 1012 W Fayette Ave Apt 2, Springfield, IL 62704-2491 2012-04-30
1851663272 Barbara J Kelley Developmental Therapist 624 S Walnut St, Springfield, IL 62704-2518 2012-01-31
1376828483 Reagan Egan Developmental Therapist 3314 Ashley Ln, Springfield, IL 62711-8257 2011-10-20
1487955506 Fawn Ann Folkerts Developmental Therapist 4504 Blackwolf Rd, Springfield, IL 62711-7871 2010-11-04
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Competitor

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City SPRINGFIELD
Zip Code 01103

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Dataset Information

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.

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