MIREILLE S GUSTAFSON (NPI# 1861402166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861402166 |
| Entity Type | Individual |
| Full Name | MIREILLE S GUSTAFSON |
| Credential | RNCNS |
| Practice Address |
25 Marshall St North Adams MA 01247 |
| Mailing Address |
725 North St Departy of Psychiatry Pittsfield MA 01201 |
| Practice Telephone | 4136644541 |
| Practice Fax Number | 4136623311 |
| Mailing Telephone | 4136644541 |
| Mailing Fax Number | 4136623311 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
169385 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
25 MARSHALL ST |
| City | NORTH ADAMS |
| State | MA |
| Zip Code | 01247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730337593 | Joanne Clark | Counselor | 25 Marshall St, Brien Center, North Adams, MA 01247-2451 | 2008-09-05 |
| 1952566143 | Stephanie Puc | Counselor | 25 Marshall St, Brien Center, North Adams, MA 01247-2451 | 2008-07-28 |
| 1053583237 | Ashlee Falco | Counselor | 25 Marshall St, Brien Center - Ei, North Adams, MA 01247-2451 | 2008-03-28 |
| 1194922047 | Celia J Twomey | Counselor | 25 Marshall St, North Adams, MA 01247-2451 | 2007-07-02 |
| 1770788200 | Derek John Raymond | Counselor | 25 Marshall St, Brien Center, North Adams, MA 01247-2451 | 2007-06-15 |
| 1285838003 | Tanya Ford | Counselor | 25 Marshall St, Brien Center, North Adams, MA 01247-2451 | 2007-06-14 |
| 1376759175 | Ana Nodal | Counselor | 25 Marshall St, North Adams, MA 01247-2451 | 2007-05-16 |
| 1861616849 | Kathy Jane Morrissette | Case Manager/Care Coordinator | 25 Marshall St, Brien Center, North Adams, MA 01247-2451 | 2007-04-12 |
| 1821212747 | Stephanie Marie Davis | Physical Therapist | 25 Marshall St, Brien Center, North Adams, MA 01247-2451 | 2007-04-12 |
| 1104040096 | Amy Elizabeth Briggs | Case Manager/Care Coordinator | 25 Marshall St, Brien Center, North Adams, MA 01247-2451 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679125173 | Collaborative Counseling, LLC | Community/Behavioral Health | 131 Mass Moca Way, North Adams, MA 01247 | 2019-07-15 |
| 1669959466 | Ellen Baer | Social Worker | 210 State St Ccb, North Adams, MA 01247 | 2018-07-24 |
| 1477044592 | Heidi A Riello | Social Worker | Mcla Counseling Services, 375 Church Street, North Adams, MA 01247 | 2018-05-24 |
| 1801306949 | Eva Tracy-raeder | Social Worker | 508 State Road, Greylock Works Studio A5, North Adams, MA 01247 | 2017-10-03 |
| 1174993893 | Jordan Rennell | Specialist/Technologist | 132 Barth Street, North Adams, MA 01247 | 2015-10-07 |
| 1376958454 | Allyson Rennell | Specialist/Technologist | 342 Eagle Street, North Adams, MA 01247 | 2014-06-26 |
| 1669747952 | Latasha Marie Turner | Physician Assistant | 71 Hospital Ave Fl 2, North Adams, MA 01247 | 2012-03-20 |
| 1912033432 | Northern Berkshire Voc School | Local Education Agency (LEA) | 70 Hodges Cross Road, North Adams, MA 01247 | 2007-02-26 |
| 1215004213 | Peter D May | Chiropractor | 73 Church Street, North Adams, MA 01247 | 2006-11-29 |
| 1750479176 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | Veterans Memorial Drive Big Y Sc, North Adams, MA 01247 | 2006-10-11 |
| Find all providers in zip 01247 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588623698 | Frances Rice | Clinical Nurse Specialist | 71 Hospital Ave, Greylock Pavilion, North Adams, MA 01247-2504 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497376909 | Sharon A Chatterton Pmhcns Bc LLC | Clinical Nurse Specialist | 175 Walpole St Unit 2, Norwood, MA 02062-3230 | 2020-05-06 |
| 1336787498 | Frieda Albertini Duffy | Clinical Nurse Specialist | 906d Ridgefield Cir, Clinton, MA 01510-1448 | 2019-12-19 |
| 1184269201 | David John Becker | Clinical Nurse Specialist | 110 Stuart St Unit 18h, Boston, MA 02116-5668 | 2019-11-13 |
| 1770131252 | Advanced Psychiatric Services LLC | Clinical Nurse Specialist | 1 Union Pl Ste 101, Dedham, MA 02026-4437 | 2019-08-28 |
| 1235691304 | Laurie Zelas Private Practice LLC | Clinical Nurse Specialist | 2 Summer St Ste 16, Natick, MA 01760-4529 | 2019-04-05 |
| 1184199630 | Rose Paolini, LLC | Clinical Nurse Specialist | 100 Laurel St, East Bridgewater, MA 02333-1846 | 2018-10-11 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1548706831 | Mary Foley | Clinical Nurse Specialist | 5 Bristol Dr Ste 1b, South Easton, MA 02375-1917 | 2017-01-11 |
| 1407172588 | Kjersten Johnsen | Clinical Nurse Specialist | 290 Pleasant St, 102, Watertown, MA 02472-2427 | 2010-04-14 |
| 1366691446 | Beverley Scannell | Clinical Nurse Specialist | 139 Mechanic St, Suite 2, Bellingham, MA 02019-1690 | 2008-09-15 |
| Find all providers with the same taxonomy | ||||
| City | NORTH ADAMS |
| Zip Code | 01247 |
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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.