Academic & Behvioral Clinic, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

616969 Issued in MA

Legal business name

ACADEMIC & BEHVIORAL CLINIC, INC.

Practice address

155 Maple St
Springfield, MA 01105-1828

Phone

(413) 747-0829

Fax

(413) 747-7804

NPI assigned

Sep 28, 2009

Last updated

Sep 28, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sabrina Lewis, MSW,LICSW

Title

Clinic Director

Phone

(413) 747-0829

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1154655843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MAPLE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051828",
            "telephone_number": "413-747-0829",
            "fax_number": "413-747-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MAPLE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051828",
            "telephone_number": "413-747-0829",
            "fax_number": "413-747-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMIC & BEHVIORAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "413-747-0829",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW,LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "616969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.