| West Central Family & Counseling, Ltd | |
|
103 Myron St Suite A West Springfield MA 01089-1598 | |
| (413) 592-1980 | |
| (413) 439-0096 |
| Full Name | West Central Family & Counseling, Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 103 Myron St, West Springfield, Massachusetts |
| Authorized Official Name and Position | Daniel Banks Baker (CEO) |
| Authorized Official Contact | 6179646681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Central Family & Counseling, Ltd 100 Crossing Blvd Suite 300 Framingham MA 01702-5555 Ph: (617) 964-6681 | West Central Family & Counseling, Ltd 103 Myron St Suite A West Springfield MA 01089-1598 Ph: (413) 592-1980 |
| NPI Number | 1801834205 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 08/27/2021 |
| Certification Date | 08/27/2021 |
| Medicare PECOS PAC ID | 5991603607 |
|---|---|
| Medicare Enrollment ID | O20040413000235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801834205 | NPI | - | NPPES |
| 1309072 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Donna M Whyte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205855269 PECOS PAC ID: 2365332947 Enrollment ID: I20040318001095 |
| Provider Name | Emad H Eskander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073594594 PECOS PAC ID: 5991775165 Enrollment ID: I20040727000933 |
| Provider Name | Philip Gottlieb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114925138 PECOS PAC ID: 5294727178 Enrollment ID: I20040908000515 |
| Provider Name | Ricardo Mujica |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1356359152 PECOS PAC ID: 9335117423 Enrollment ID: I20040916001199 |
| Provider Name | Terri A Betts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730392812 PECOS PAC ID: 9436104528 Enrollment ID: I20050322000619 |
| Provider Name | Sharie L Mcneill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437239712 PECOS PAC ID: 4587601869 Enrollment ID: I20050408000838 |
| Provider Name | Marcus J Goldman |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1023022639 PECOS PAC ID: 3476592536 Enrollment ID: I20050427001396 |
| Provider Name | Helen C Jenest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407857378 PECOS PAC ID: 4183669575 Enrollment ID: I20050627000358 |
| Provider Name | Beth A Swartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316997976 PECOS PAC ID: 7012944663 Enrollment ID: I20050726000026 |
| Provider Name | Diane M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619048550 PECOS PAC ID: 8729015375 Enrollment ID: I20050726000044 |
| Provider Name | Kristine L Dustin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417980269 PECOS PAC ID: 2769410141 Enrollment ID: I20050727000712 |
| Provider Name | Karen Mozzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982642310 PECOS PAC ID: 4082642855 Enrollment ID: I20050802000871 |
| Provider Name | Stacey L Rossano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184657991 PECOS PAC ID: 4183655129 Enrollment ID: I20050829001076 |
| Provider Name | Lucille Jerome |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467948463 PECOS PAC ID: 6800820101 Enrollment ID: I20050926001057 |
| Provider Name | Marylyn Dunlap Colburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497761266 PECOS PAC ID: 5890720247 Enrollment ID: I20051004000946 |
| Provider Name | Raymond W Kam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003911926 PECOS PAC ID: 8921023789 Enrollment ID: I20051011000362 |
| Provider Name | Maria M Duggan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184649238 PECOS PAC ID: 8426074089 Enrollment ID: I20051022000031 |
| Provider Name | Stephen Folven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548269665 PECOS PAC ID: 3971531419 Enrollment ID: I20051222000197 |
| Provider Name | Jeanne Vumbaca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871604090 PECOS PAC ID: 5395847354 Enrollment ID: I20070221000368 |
| Provider Name | Joyce A Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225163900 PECOS PAC ID: 8921104688 Enrollment ID: I20070426000465 |
| Provider Name | Stacey M Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114102332 PECOS PAC ID: 6901988054 Enrollment ID: I20080128000657 |
| Provider Name | Sarah Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982880225 PECOS PAC ID: 1658454202 Enrollment ID: I20080206000170 |
| Provider Name | Mary H Lukason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023276227 PECOS PAC ID: 9739184722 Enrollment ID: I20080618000621 |
| Provider Name | Cindy R Opper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427081827 PECOS PAC ID: 1254404452 Enrollment ID: I20080722000183 |
| Provider Name | Eleni M Klostri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548279060 PECOS PAC ID: 0345308524 Enrollment ID: I20081016000029 |
| Provider Name | Karen W. Nolen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902046030 PECOS PAC ID: 7214085372 Enrollment ID: I20090429000034 |
| Provider Name | Bonnie E Pinto-swift |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619090685 PECOS PAC ID: 8729136544 Enrollment ID: I20090506000107 |
| Provider Name | Patricia A Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891937371 PECOS PAC ID: 7719029933 Enrollment ID: I20100126000219 |
| Provider Name | Thomas Tashjian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912959602 PECOS PAC ID: 3072700822 Enrollment ID: I20101207000308 |
| Provider Name | Carol Boyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144525817 PECOS PAC ID: 9537341540 Enrollment ID: I20110314000060 |
| Provider Name | Marcia Winn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710061957 PECOS PAC ID: 5597663203 Enrollment ID: I20120228000617 |
| Provider Name | Diane E Paseos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245460146 PECOS PAC ID: 4587617402 Enrollment ID: I20120309000386 |
| Provider Name | Barbara S Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609142504 PECOS PAC ID: 9739339862 Enrollment ID: I20121025000272 |
| Provider Name | Tamara Connelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790035012 PECOS PAC ID: 6204087349 Enrollment ID: I20130809000255 |
| Provider Name | Nina Pinger |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1023032166 PECOS PAC ID: 4183858012 Enrollment ID: I20131009000784 |
| Provider Name | Raya Ariella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689948986 PECOS PAC ID: 4486806007 Enrollment ID: I20140120000213 |
| Provider Name | Jessica Spissinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356599583 PECOS PAC ID: 9032347885 Enrollment ID: I20140128001260 |
| Provider Name | Erin Rauscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629271119 PECOS PAC ID: 5799729067 Enrollment ID: I20140430002451 |
| Provider Name | Jennifer J Brennan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821155565 PECOS PAC ID: 6800012592 Enrollment ID: I20140804000065 |
| Provider Name | Miriam S Paris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609182963 PECOS PAC ID: 3779772447 Enrollment ID: I20140806000570 |
| Provider Name | Meredith Anne Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730497157 PECOS PAC ID: 5395967343 Enrollment ID: I20141107000470 |
| Provider Name | Mary Catherine Chrabaszcz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154724839 PECOS PAC ID: 5799008744 Enrollment ID: I20150119000549 |
| Provider Name | Ashley Bullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023408382 PECOS PAC ID: 8921324765 Enrollment ID: I20150313000495 |
| Provider Name | John Dwyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740666510 PECOS PAC ID: 7517275571 Enrollment ID: I20150924003288 |
| Provider Name | Prisca Hefti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508133182 PECOS PAC ID: 6901106103 Enrollment ID: I20151119001141 |
| Provider Name | Joanne E Theodate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831571561 PECOS PAC ID: 3577866565 Enrollment ID: I20160126000591 |
| Provider Name | Neil A Berger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710055108 PECOS PAC ID: 0042487746 Enrollment ID: I20160421002324 |
| Provider Name | Emily Renaud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699814160 PECOS PAC ID: 3274832811 Enrollment ID: I20160503000406 |
| Provider Name | Tara Martin Haines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780043190 PECOS PAC ID: 0749579050 Enrollment ID: I20160510000657 |
| Provider Name | Marie Natacha Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689043465 PECOS PAC ID: 9335438001 Enrollment ID: I20160519000695 |
| Provider Name | Mary Mccall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841648144 PECOS PAC ID: 6204121296 Enrollment ID: I20160830002127 |
| Provider Name | Jennifer Olivier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649729898 PECOS PAC ID: 0547548331 Enrollment ID: I20161029000008 |
| Provider Name | Peggy Warwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104949502 PECOS PAC ID: 9931484508 Enrollment ID: I20170322000454 |
| Provider Name | Neli Yordanova Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588199038 PECOS PAC ID: 6002184157 Enrollment ID: I20170623002184 |
| Provider Name | Kimberly Tsitsirigos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053758672 PECOS PAC ID: 2466724059 Enrollment ID: I20170816002833 |
| Provider Name | Jill Elizabeth Boggis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205972361 PECOS PAC ID: 0547535056 Enrollment ID: I20171010001859 |
| Provider Name | Aldo Sferra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851802169 PECOS PAC ID: 5496012536 Enrollment ID: I20171128003173 |
| Provider Name | Mary Kathleen Rand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275044315 PECOS PAC ID: 3870852528 Enrollment ID: I20180125002452 |
| Provider Name | Lisa Marie Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922546407 PECOS PAC ID: 0749541449 Enrollment ID: I20180220002408 |
| Provider Name | Michelle Rampino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558620906 PECOS PAC ID: 7214299817 Enrollment ID: I20180320000235 |
| Provider Name | Lea A Grippin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891204475 PECOS PAC ID: 3678836913 Enrollment ID: I20180418002760 |
| Provider Name | George Njoroge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013420272 PECOS PAC ID: 0446556336 Enrollment ID: I20180517002256 |
| Provider Name | Kathleen Daigle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760797856 PECOS PAC ID: 1456607159 Enrollment ID: I20180711001812 |
| Provider Name | Darling Romulus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780182220 PECOS PAC ID: 3971854910 Enrollment ID: I20181001002809 |
| Provider Name | Brittanie Jemes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437553765 PECOS PAC ID: 9335493774 Enrollment ID: I20181121000672 |
| Provider Name | Alyssia Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750723920 PECOS PAC ID: 5395989750 Enrollment ID: I20181210000055 |
| Provider Name | Pauline J Ovens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932327046 PECOS PAC ID: 5991803587 Enrollment ID: I20190107001732 |
| Provider Name | Rachel Grey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760781660 PECOS PAC ID: 6507041746 Enrollment ID: I20190107002669 |
| Provider Name | Vania Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124594650 PECOS PAC ID: 7113263849 Enrollment ID: I20190116002849 |
| Provider Name | Ugomma Onyeukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154829752 PECOS PAC ID: 3375881006 Enrollment ID: I20190205001541 |
| Provider Name | Annette Jane Mercado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194236414 PECOS PAC ID: 1951640069 Enrollment ID: I20190307002766 |
| Provider Name | Shohana Paradise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124584669 PECOS PAC ID: 6204175250 Enrollment ID: I20190308001316 |
| Provider Name | E. Brigid Mcbride |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528318789 PECOS PAC ID: 0648510370 Enrollment ID: I20190315002476 |
| Provider Name | Frank Kwame Tengey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366927857 PECOS PAC ID: 6305173832 Enrollment ID: I20190807000494 |
| Provider Name | Samantha R Sisskind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053883322 PECOS PAC ID: 8123355146 Enrollment ID: I20190813002312 |
| Provider Name | Shalina Wray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689155913 PECOS PAC ID: 0042548372 Enrollment ID: I20190826000633 |
| Provider Name | Rosel F Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437535440 PECOS PAC ID: 6103155353 Enrollment ID: I20190912002441 |
| Provider Name | Kathleen Whitcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720586779 PECOS PAC ID: 0941530786 Enrollment ID: I20190923000310 |
| Provider Name | Peter Adels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205493517 PECOS PAC ID: 9133450141 Enrollment ID: I20191004002827 |
| Provider Name | Anjani Agarwala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861053993 PECOS PAC ID: 8325472582 Enrollment ID: I20191220000583 |
| Provider Name | Ashley Correll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467849331 PECOS PAC ID: 2365870748 Enrollment ID: I20200318000754 |
| Provider Name | Betty Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619119799 PECOS PAC ID: 8628407186 Enrollment ID: I20200403001152 |
| Provider Name | Garry Francois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427682046 PECOS PAC ID: 7315363652 Enrollment ID: I20200817002680 |
| Provider Name | Taylor Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962025023 PECOS PAC ID: 9931526142 Enrollment ID: I20200902003097 |
| Provider Name | Thomas Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144641705 PECOS PAC ID: 0042638546 Enrollment ID: I20200915003357 |
| Provider Name | Susan Debra Matatia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982187308 PECOS PAC ID: 0941620454 Enrollment ID: I20201022002526 |
| Provider Name | Christopher Skinner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811094006 PECOS PAC ID: 1254579220 Enrollment ID: I20201023001588 |
| Provider Name | Rachel Lorena Alvarenga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265907042 PECOS PAC ID: 4789096686 Enrollment ID: I20201217002452 |
| Provider Name | Lauren E Triest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376141259 PECOS PAC ID: 1557774304 Enrollment ID: I20210115000998 |
| Provider Name | Tiffany Michelle Paolillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013470194 PECOS PAC ID: 8921413741 Enrollment ID: I20210209000058 |
| Provider Name | More Chingor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952993123 PECOS PAC ID: 4183039118 Enrollment ID: I20210224001545 |
| Provider Name | Stephanie Christine Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164065942 PECOS PAC ID: 4981011871 Enrollment ID: I20210319001142 |
| Provider Name | Erik Toce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689907941 PECOS PAC ID: 2961733092 Enrollment ID: I20210524001474 |
| Provider Name | Jillian Kelsey Keigher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447835442 PECOS PAC ID: 8527469915 Enrollment ID: I20210623000299 |
| Provider Name | Aleena Shakya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346915477 PECOS PAC ID: 4284032590 Enrollment ID: I20211018000120 |
| Provider Name | Naomi Oti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619542610 PECOS PAC ID: 7214335579 Enrollment ID: I20211018001672 |
| Provider Name | Andrea Migneault-ciriello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639849938 PECOS PAC ID: 0648669630 Enrollment ID: I20211112001062 |
| Provider Name | Liudmila F Cardoso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184207946 PECOS PAC ID: 8426449695 Enrollment ID: I20211222001917 |
| Provider Name | Robin Ann May |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457830838 PECOS PAC ID: 5193108850 Enrollment ID: I20220815000075 |
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