| Valley Psychiatric Service, Inc. | |
|
511 E Columbus Ave Springfield MA 01105-2506 | |
| (413) 827-8959 | |
| (413) 827-7015 |
| Full Name | Valley Psychiatric Service, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 511 E Columbus Ave, Springfield, Massachusetts |
| Authorized Official Name and Position | Aaron M. Leavitt (OWNER) |
| Authorized Official Contact | 4138278959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Psychiatric Service, Inc. 511 E Columbus Ave Springfield MA 01105-2506 Ph: (413) 827-8959 | Valley Psychiatric Service, Inc. 511 E Columbus Ave Springfield MA 01105-2506 Ph: (413) 827-8959 |
| NPI Number | 1518992767 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518992767 | NPI | - | NPPES |
| 1309862 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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