NPIMap

Organization Active NPI

Academic & Behvioral Clinic, Inc.

  • Community/Behavioral Health Agency
  • Springfield, MA
National Provider Identifier
1154655843
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Sabrina Lewis, MSW,LICSW
Title
Clinic Director
Phone
(413) 747-0829

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

155 Maple St
Springfield, MA 01105
Phone (413) 285-8722

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 616969 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

155 Maple St
Springfield, MA 01105-1828

Mailing address

155 Maple St
Springfield, MA 01105-1828
Phone (413) 747-0829

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
337151OtherMADOE PRINCIPAL/ASSISTANT/ SCH SOC WRK

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 28, 2009.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOE PRINCIPAL/ASSISTANT/ SCH SOC WRK",
            "identifier": "337151",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "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 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.