Cleanslate Centers, LLC
Internal Medicine, Addiction Medicine in West Springfield, Massachusetts
1629398433- Practice location
- 82 Main St, West Springfield, MA 01089-3942
- Phone
- 413-788-0100
- Fax
- 413-736-1813
- Last updated
- June 9, 2010
Cleanslate Centers, LLC is a healthcare organization based in West Springfield, MA. Cleanslate Centers, LLC practices in West Springfield, MA. The NPI Number for Cleanslate Centers, LLC is 1629398433. The current practice location address for Cleanslate Centers, LLC is 82 Main St, West Springfield, MA 01089-3942 and can be reached out via phone at 413-788-0100 and via fax at 413-736-1813.
Provider Profile Details
- NPI Number
- 1629398433
- Provider Name
- Cleanslate Centers, LLC
- Provider Entity Type
- Organization
- Address
- 82 Main St, West Springfield, MA 01089-3942
- Phone Number
- 413-788-0100
- Fax Number
- 413-736-1813
- Primary Taxonomy
- Internal Medicine, Addiction Medicine · 207RA0401X
- Organization Subpart
- No
- Authorized Official
- Ms. Amanda L Wilson, MD · Owner · 413-788-0100
- Provider Enumeration Date
- June 3, 2010
- Last Update Date
- June 9, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 82 Main St
West Springfield, MA 01089-3942 - City
- West Springfield
- State
- Massachusetts
- Zip
- 01089-3942
- Phone Number
- 413-788-0100
- Fax Number
- 413-736-1813
Provider Business Mailing Address Details
- Address
- Po Box 32
Northampton, MA 01061 - City
- Northampton
- State
- MA
- Zip
- 01061
- Phone Number
- 413-788-0100
- Fax Number
- 413-736-1813
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (2)
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X
- Taxonomy (3)
- Social Worker · 104100000X
- Taxonomy (4)
- Psychiatry & Neurology, Addiction Medicine · 2084A0401X
- Taxonomy (5)
- Internal Medicine, Addiction Medicine · 207RA0401X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Addiction Medicine providers near West Springfield, MA
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- Justin CastroAssistant Behavior Analyst · NPI 1093614810
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Frequently Asked Questions
What is the NPI number of Cleanslate Centers, LLC?
The NPI number of Cleanslate Centers, LLC is 1629398433. It was assigned on June 3, 2010 and is currently active in the NPPES registry.
What is the specialty of Cleanslate Centers, LLC?
Cleanslate Centers, LLC is registered under the primary taxonomy Internal Medicine, Addiction Medicine (code 207RA0401X).
Where does Cleanslate Centers, LLC practice?
The practice location is 82 Main St, West Springfield, MA 01089-3942. The office can be reached at 413-788-0100 (phone) or 413-736-1813 (fax).
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 1629398433 directly on the NPPES registry website.