COMMUNITY SERVICES INSTITUTE, INC. (NPI# 1255450631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255450631 |
Entity Type | Organization |
Organization Name | COMMUNITY SERVICES INSTITUTE, INC. |
Other Organization Name | INSTITUTE AT NEWTON |
Practice Address |
1695 Main St Suite 400 Springfield MA 01103-1348 |
Mailing Address |
1695 Main St Ste 400 Springfield MA 01103-1348 |
Practice Telephone | 4137395572 |
Practice Fax Number | 4137399972 |
Mailing Telephone | 4137395572 |
Mailing Fax Number | 4137399972 |
Enumeration Date | 2007-03-28 |
Last Update Date | 2013-07-12 |
Authorized Official Name | FRANK C SACCO (PRESIDENT & CEO) |
Authorized Official Telephone | 4137395572 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | 4436 | MA | Agencies |
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
4436 | MA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 997648 | 05 | |
MA | 1307541 | 05 | |
MA | BCBSMA ID | M18747 | 01 |
MA | 110027920A | 05 | |
MA | 1004980 | 05 | |
MA | 000000020081 | 05 | |
MA | 1303856 | 05 | |
MA | 110027920B | 05 |
Other Name | Type Code |
---|---|
Institute At Newton | Former Legal Business Name - Organization |
Street Address |
1695 MAIN ST SUITE 400 |
City | SPRINGFIELD |
State | MA |
Zip Code | 01103-1348 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669087235 | Ashley Marie Jediny | Social Worker | 1695 Main St, Springfield, MA 01103-1348 | 2020-09-10 |
1437794914 | Dominick Joseph Smith | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2019-11-08 |
1205477304 | Kianna G Pinkney- Brown | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2019-10-01 |
1073174371 | Alyssa Ann Shock | Student in an Organized Health Care Education/Training Program | 1695 Main St, Suite 400, Springfield, MA 01103-1063 | 2019-06-26 |
1114585700 | Emely T Bonilla Rodriguez | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2019-05-30 |
1104397181 | Keith P Dixon | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2018-12-17 |
1760957708 | Yesenia Rodriguez | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2018-10-05 |
1649754177 | Emily Polutchko | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2018-09-20 |
1982188496 | Meg Marie Solitario | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2018-09-20 |
1225510555 | Thomas James Delphia | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2018-09-04 |
Find all providers in the same location |
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 |
Find all providers in zip 01103 |
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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1235693623 | Eyes On Therapy | Clinic/Center | 1207 N Plum St Ste A, Springfield, OH 45504-1865 | 2019-01-30 |
1912474586 | Hope Source Counseling | Clinic/Center | 1736 E Sunshine St Ste 813, Springfield, MO 65804-1334 | 2018-10-31 |
1760964910 | Wellness for The Culture LLC | Clinic/Center | 44 Superior Ave, Springfield, MA 01151-1836 | 2018-09-04 |
1003315177 | Counter Balance | Clinic/Center | 56 Main St Ste 212, Springfield, VT 05156-2945 | 2018-02-05 |
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 | 01103 |
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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.