Active NPI
Shirley M Piskadlo, LMHC
- Mental Health Counselor
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5805
- Practice address
- 275 Belmont St
Worcester, MA 01604-1675 - Phone
- (508) 791-3261
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5805 | MA | Primary |
Addresses
Primary practice location
275 Belmont St
Worcester, MA 01604-1675
Mailing address
275 Belmont St
Worcester, MA 01604-1675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
72 Jaques Ave
Worcester, MA 01610-2476
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5805 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Healthlink, Inc. | Current | Accepting new patients | |
| Community Healthlink Inc | Current | Accepting new patients |
Locations
40 Spruce St
#2
Leominster, MA 01453
Phone (978) 534-6116
335 Chandler St
Worcester, MA 01602
Phone (508) 753-2967
72 Jaques Ave
Worcester, MA 01610
Phone (508) 860-1154
275 Belmont St
Worcester, MA 01604
Phone (508) 421-4466
26 Queen St
Worcester, MA 01610
Phone (508) 860-7700
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Worcester, MA
- NPI 1649293028
-
- Community Health Clinic/Center
- Worcester, MA
- NPI 1235387879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1174621619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 BELMONT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 BELMONT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041675",
"telephone_number": "508-791-3261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISKADLO",
"first_name": "SHIRLEY",
"middle_name": "M",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "5805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.