Brady Appolon

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Springfield, MA

NPI 1013558253 · NPPES record last updated Sep 30, 2019

Key facts

NPI
1013558253
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
20 Wilbraham Ave
Springfield, MA 01109-3337
Phone
(413) 747-5384
Fax
(413) 382-7170
NPI assigned
Sep 30, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Association, Inc. Past
since Oct 6, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

20 Wilbraham Ave
Springfield, MA 01109-3337

Mailing address

995 Worthington St
Springfield, MA 01109-4027
Phone (413) 734-5376

Other providers in Springfield, MA

All providers in Springfield, MA · Addiction (Substance Use Disorder) Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.