VALLEY PSYCHIATRIC SERVICE, INC. (NPI# 1518992767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518992767 |
| Entity Type | Organization |
| Organization Name | VALLEY PSYCHIATRIC SERVICE, INC. |
| Practice Address |
511 E Columbus Ave Springfield MA 01105-2506 |
| Practice Telephone | 4138278959 |
| Practice Fax Number | 4138277015 |
| Mailing Telephone | 4138278959 |
| Mailing Fax Number | 4138277015 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. AARON M. LEAVITT (OWNER) |
| Authorized Official Telephone | 4138278959 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1309862 | 05 |
| Street Address |
511 E COLUMBUS AVE |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01105-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952932956 | Ana Reinke | Counselor | 511 E Columbus Ave, Springfield, MA 01105-2506 | 2020-01-29 |
| 1982255733 | Carole Maldonado | Counselor | 511 E Columbus Ave, Springfield, MA 01105-2506 | 2019-09-24 |
| 1184270779 | Mark E Jenkins Jr. | Counselor | 511 E Columbus Ave, Springfield, MA 01105-2506 | 2019-08-11 |
| 1124670609 | Christopher Barranco | Counselor | 511 E Columbus Ave, Springfield, MA 01105-2506 | 2019-07-15 |
| 1871008375 | Monica Ramos-ramos | Counselor | 511 E Columbus Ave, Springfield, MA 01105-2506 | 2017-12-06 |
| 1083128219 | Judmila Serrano | Social Worker | 511 E Columbus Ave, Springfield, MA 01105-2506 | 2017-11-27 |
| 1386157600 | Jean Muhammad | Counselor | 511 E Columbus Ave, Springfield, MA 01105-2506 | 2017-11-08 |
| 1982116489 | Nicole Smith | Counselor | 511 E Columbus Ave, Springfield, MA 01105-2506 | 2017-10-25 |
| 1245742790 | Clifford Robinson | Counselor | 511 E Columbus Ave, Springfield, MA 01105-2506 | 2017-10-24 |
| 1457861015 | Maria Del Carmen Ramos Ramos | Social Worker | 511 E Columbus Ave, Springfield, MA 01105-2506 | 2017-10-09 |
| 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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| 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 |
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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.