Emilymarie Clionsky, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

233651 Issued in MA

Practice address

155 Maple St
Suite 203
Springfield, MA 01105-1828

Phone

(413) 306-6060

Fax

(413) 747-1558

NPI assigned

Sep 5, 2006

Last updated

Mar 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2013 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Memory Wellness, LLC

  • Primary Care Clinic/Center
  • Springfield, MA
  • NPI 1083809487
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1053414383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MAPLE ST",
            "address_2": "SUITE 203",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051828",
            "telephone_number": "413-306-6060",
            "fax_number": "413-747-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MAPLE ST",
            "address_2": "SUITE 203",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051828",
            "telephone_number": "413-306-6060",
            "fax_number": "413-747-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIONSKY",
        "first_name": "EMILYMARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "13044",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200000807",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "13004",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "233651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinical & Support Options, Inc
• Clinical & Support Options, Inc.
• Clinical and Support Options
• Clinical Specialty Infusions of Dallas, LLC
• Deborah Clinton
• Mitchell I Clionsky, PHD
• Elka Alice Cloke, M.D.
• Emily McKenna Clough, PA-C
• Erin Cloutier, LATC
• Nicole Denise Coakley

• Psychiatry Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.