CT- FAMILY CARE SERVICES, LLC (NPI# 1174868442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174868442 |
| Entity Type | Organization |
| Organization Name | CT- FAMILY CARE SERVICES, LLC |
| Practice Address |
155 Maple St Unit 204 Springfield MA 01105-2649 |
| Practice Telephone | 8604328862 |
| Mailing Telephone | 8604328862 |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2013-10-24 |
| Authorized Official Name | MR. JUSTINIAN B RWEYEMAMU (PRESIDENT & CEO) |
| Authorized Official Telephone | 8605088651 |
| Authorized Official Credential | MA, M.DIV, MS-MF |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR1100X |
Clinic/Center Specialization: Research |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
155 MAPLE ST UNIT 204 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01105-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205864998 | Deborah A. Fein | Clinical Neuropsychologist | 155 Maple St, Suite 407, Springfield, MA 01105-1828 | 2006-06-29 |
| 1083215669 | Fatima Abdelmagid | Counselor | 155 Maple St, Springfield, MA 01105-2649 | 2020-11-02 |
| 1316572324 | Maria Arias | Counselor | 155 Maple St, Springfield, MA 01105-2649 | 2020-03-10 |
| 1508498825 | Sabine Cayo-saylor | Registered Nurse | 155 Maple St, Springfield, MA 01105-2649 | 2020-02-05 |
| 1770113078 | Joanna R Miles | Psychologist | 155 Maple St, Springfield, MA 01105-2649 | 2020-01-25 |
| 1174069025 | Catherine Caplis | Psychologist | 155 Maple St, Suite 203, Springfield, MA 01105-2649 | 2017-01-17 |
| 1043752306 | Alisa Beaver | Psychologist | 155 Maple St, Suite 207, Springfield, MA 01105-2649 | 2016-11-17 |
| 1235686270 | David Nnyanzi | Counselor | 155 Maple St, Unit 207, Springfield, MA 01105-2649 | 2016-09-07 |
| 1659730257 | Excelsure Homes Health Care Solutions LLC | Home Health | 155 Maple St, Suite 409, Springfield, MA 01105-2649 | 2016-02-11 |
| 1811352818 | Barbara Marie Robinson | Specialist | 155 Maple St, 304, Springfield, MA 01105-2649 | 2015-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881166551 | Rachael Ellen Buckley | Behavioral Analyst | 1 Federal Street, Stccac Technical Park, Building 101, 1 East-3, Springfield, MA 01105 | 2018-12-19 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1508351107 | Breanna Wardwell | Psychologist | 110 Maple St Ste 110, Springfield, MA 01105 | 2018-06-26 |
| 1538689831 | Ruthie May Therrien | Counselor | 140 High St #230, Springfield, MA 01105 | 2017-06-27 |
| 1124483771 | Jane Danette Smith | Counselor | 15 Mulberry Street, Phoenix House, Springfield, MA 01105 | 2015-12-28 |
| 1043682008 | Nancy Hernandez | Social Worker | 140 High Street Suite 230, South Bay Mental Health Springfield Clinic, Springfield, MA 01105 | 2015-10-29 |
| 1205204567 | Yarelis Aquino | Social Worker | 511 Eastt Columbus Ave, Springfield, MA 01105 | 2015-09-03 |
| 1417376419 | Wanda I Perez | Student in an Organized Health Care Education/Training Program | 367 Pine Street, Springfield, MA 01105 | 2014-04-08 |
| 1275968778 | Elizabeth Catherine Grey | Social Worker | 155 Maple St Ste 304, Springfield, MA 01105 | 2013-09-04 |
| 1891033148 | Carol Ouellette | Counselor | 511 East Columbus Avenue, Springfield, MA 01105 | 2013-01-22 |
| Find all providers in zip 01105 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1558805754 | Bhg Xliii, LLC | Clinic/Center | 2551 W Kearney St, Springfield, MO 65803 | 2016-12-07 |
| 1538575295 | Sunrise Behavioral Health Clinic, LLC | Clinic/Center | 95 Frank B. Murray Street, Springfield, MA 01103 | 2014-07-02 |
| 1326296856 | Gateway Foundation, Inc. | Clinic/Center | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2008-09-09 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01105 |
Please comment or provide details below to improve the information on CT- FAMILY CARE SERVICES, LLC.
| 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.