ADDICTION CAMPUSES PROFESSIONAL SERVICES OF MASSACHUSETTS PLLC


Address: 151 South St, Cummington, MA 01026-9501
Phone: 4136343600

ADDICTION CAMPUSES PROFESSIONAL SERVICES OF MASSACHUSETTS PLLC (NPI# 1306458690) 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) 1306458690
Entity Type Organization
Organization Name ADDICTION CAMPUSES PROFESSIONAL SERVICES OF MASSACHUSETTS PLLC
Practice Address 151 South St
Cummington
MA 01026-9501
Mailing Address 205 Reidhurst Ave
Nashville
TN 37203-1618
Practice Telephone 4136343600
Practice Fax Number 4136345300
Mailing Telephone 6159214447
Mailing Fax Number 6159215918
Enumeration Date 2020-08-19
Last Update Date 2020-08-19
Authorized Official Name LEIGH ANN THOMPSON (SENIOR DIRECTOR)
Authorized Official Telephone 6159214447
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084A0401X Psychiatry & Neurology
Specialization: Addiction Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 151 SOUTH ST
City CUMMINGTON
State MA
Zip Code 01026-9501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760456057 Alan B. Weiner Family Medicine 151 South St, Cummington, MA 01026-9501 2006-02-14
1417576760 Jessica Wheeler Social Worker 151 South St, Cummington, MA 01026-9501 2020-04-15
1740735539 Addiction Campuses of Massachusetts Substance Abuse Rehabilitation Facility 151 South St, Cummington, MA 01026-9501 2016-08-22
1285980797 Academy At Swift River Psychiatric Residential Treatment Facility 151 South St, Cummington, MA 01026-9501 2012-08-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902893910 Richard F Champoux Clinical Nurse Specialist 151 South Street, Asr, Cummington, MA 01026 2005-10-04
1982238846 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 151 South St Ste 104, Cummington, MA 01026-9501 2020-02-28
1376987487 Kathy A Mcmahon Psychologist 233 Powell Rd, Apt/suite, Cummington, MA 01026-9609 2013-04-18
1295953958 Beth Anne Webb Dietitian, Registered 167 Plainfield Bush Rd, Cummington, MA 01026-9629 2007-04-20
1467630426 Kathleen Ann Whelihan Specialist 437 Stage Rd, Cummington, MA 01026-9649 2008-02-01
1225027170 Cummington Fire Association, Inc Ambulance 16 Main St, Cummington, MA 01026-9700 2005-10-13
1093882722 Jonathan N Ginzberg Acupuncturist 11 Swift River Rd, Cummington, MA 01026-9731 2006-11-29
1619384211 Paula Zindler Rn Ibclc Registered Nurse 132 Stage Rd, Cummington, MA 01026-9738 2014-07-15

Taxonomy Information

Taxonomy Code 2084A0401X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Medicine

Taxonomy Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467095810 Siere Jennifer Alkee Psychiatry & Neurology 68 N.front St, New Bedford, MA 02740 2019-10-17
1881015337 Norton Health Care PC Psychiatry & Neurology 85 E Main St Ste A, Norton, MA 02766-2307 2014-01-01
1104185586 Adam Bied Psychiatry & Neurology 339 Massachusetts Ave, Arlington, MA 02474-6718 2012-05-07
1598809287 Nestore J D'angelo Psychiatry & Neurology 18 Woodholm Rd, Manchester, MA 01944-1042 2007-02-16
1245392513 Roger N Chabra Psychiatry & Neurology 284 Starboard Ln, Osterville, MA 02655-1451 2006-12-14
1487754974 Amjad Bahnassi Psychiatry & Neurology 435 Shrewsbury St Ste 1, Worcester, MA 01604-1691 2006-09-24
1205934924 Boston Psychiatry Group, Inc. Psychiatry & Neurology 20 Hope Ave Ste G05, Waltham, MA 02453-2781 2006-09-20
1265446157 Elliott Gerald Segal Psychiatry & Neurology 126b Sewall Ave, Brookline, MA 02446-5327 2006-07-28
1043239270 Alan Fisch Psychiatry & Neurology 872 Massachusetts Ave., Ste. 2-2, 2-7, Cambridge, MA 02139 2006-07-19
1093789083 Michael Joshua Ostacher Psychiatry & Neurology 50 Staniford St Ste 580, Massachusetts General Hospital, Boston, MA 02114-2540 2006-02-15
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Competitor

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City CUMMINGTON
Zip Code 01026

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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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