Active NPI
Wandysbel Davila, BSW
- Addiction (Substance Use Disorder) Counselor
- Springfield, MA
National Provider Identifier
1063007300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 511 E Columbus Ave
Springfield, MA 01105-2506 - Phone
- (413) 733-3488
- Fax
- (413) 731-7381
- NPI assigned
- Mar 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
511 E Columbus Ave
Springfield, MA 01105-2506
Mailing address
25 Marengo Park
Springfield, MA 01108-1733
Phone (413) 437-3643
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | wandy.davila@ctcprograms.com | Habit Optco Acadia Healthcare |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1063007300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MARENGO PARK",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011081733",
"telephone_number": "413-437-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 E COLUMBUS AVE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011052506",
"telephone_number": "413-733-3488",
"fax_number": "413-731-7381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA",
"first_name": "WANDYSBEL",
"credential": "BSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-09",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "wandy.davila@ctcprograms.com",
"affiliation": "Y",
"affiliationName": "Habit Optco Acadia Healthcare",
"address_1": "511 E Columbus Ave",
"city": "Springfield",
"state": "MA",
"country_code": "US",
"postal_code": "011052506",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.