Self
Clinic/Center, Adolescent and Children Mental Health in Springfield, Massachusetts
1568814390- Practice location
- 19 Merrick Ave Apt 1, Springfield, MA 01109-4324
- Phone
- 413-244-5624
- Fax
- —
- Last updated
- July 5, 2016
Self is a healthcare organization based in Springfield, MA. Self practices in Springfield, MA. The NPI Number for Self is 1568814390. The current practice location address for Self is 19 Merrick Ave Apt 1, Springfield, MA 01109-4324 and can be reached out via phone at 413-244-5624.
Provider Profile Details
- NPI Number
- 1568814390
- Provider Name
- Self
- Provider Entity Type
- Organization
- Address
- 19 Merrick Ave Apt 1, Springfield, MA 01109-4324
- Phone Number
- 413-244-5624
- Primary Taxonomy
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Organization Subpart
- No
- Authorized Official
- Luis Rivera · Counselor · 413-244-5624
- Provider Enumeration Date
- July 5, 2016
- Last Update Date
- July 5, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Merrick Ave Apt 1
Springfield, MA 01109-4324 - City
- Springfield
- State
- Massachusetts
- Zip
- 01109-4324
- Phone Number
- 413-244-5624
Provider Business Mailing Address Details
- Address
- 19 Merrick Ave
Springfield, MA 01109-4324 - City
- Springfield
- State
- MA
- Zip
- 01109-4324
- Phone Number
- 413-244-5624
License Information
- Taxonomy
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Self?
The NPI number of Self is 1568814390. It was assigned on July 5, 2016 and is currently active in the NPPES registry.
What is the specialty of Self?
Self is registered under the primary taxonomy Clinic/Center, Adolescent and Children Mental Health (code 261QM0855X).
Where does Self practice?
The practice location is 19 Merrick Ave Apt 1, Springfield, MA 01109-4324. The office can be reached at 413-244-5624 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568814390 directly on the NPPES registry website.