| Ihs | |
|
370 N King St Northampton MA 01060-1121 | |
| (413) 387-0075 | |
| (888) 289-5206 |
| Full Name | Ihs |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 370 N King St, Northampton, Massachusetts |
| Authorized Official Name and Position | Andres Munoz-bustamante (PSYCHOLOGIST) |
| Authorized Official Contact | 4133204118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ihs 370 N King St Northampton MA 01060-1121 Ph: (413) 320-4118 | Ihs 370 N King St Northampton MA 01060-1121 Ph: (413) 387-0075 |
| NPI Number | 1033361845 |
|---|---|
| Provider Enumeration Date | 10/13/2008 |
| Last Update Date | 10/26/2020 |
| Certification Date | 10/26/2020 |
| Medicare PECOS PAC ID | 4880750652 |
|---|---|
| Medicare Enrollment ID | O20090303000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033361845 | NPI | - | NPPES |
| W10610 | Other | MA | BLUE CROSS PROVIDER NUMBER |
| W51251 | Other | MA | MEDICARE UNSPECIFIED |
| MINS0458 | Other | MA | MEDICARE UNSPECIFIED |
| Provider Name | Angelique Lauren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265569776 PECOS PAC ID: 9436180007 Enrollment ID: I20050823000829 |
| Provider Name | Ileana Miranda Velaz |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1902884687 PECOS PAC ID: 3678505377 Enrollment ID: I20050901000904 |
| Provider Name | Annita P Sawyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285760306 PECOS PAC ID: 1456306034 Enrollment ID: I20180126002406 |
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