Individual provider Active NPI

Claudia Eileen Quesada

  • Counselor
  • Springfield, MA
National Provider Identifier
1184053910
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2155 Main Street and St. George Road
The Gandara Center
Springfield, MA 01104
Phone
(413) 736-0395
Fax
(413) 734-1651
NPI assigned
Nov 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

2155 Main Street and St. George Road
The Gandara Center
Springfield, MA 01104

Mailing address

147 Norman Street
The Gandara Center
Springfield, MA 01089-5003
Phone (413) 736-0395

Other identifiers 1

IdentifierTypeStateIssuer
1303295MedicaidMA

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": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383350400000",
    "number": "1184053910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 NORMAN STREET",
            "address_2": "THE GANDARA CENTER",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "010895003",
            "telephone_number": "413-736-0395",
            "fax_number": "413-734-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 MAIN STREET AND ST. GEORGE ROAD",
            "address_2": "THE GANDARA CENTER",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01104",
            "telephone_number": "413-736-0395",
            "fax_number": "413-734-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUESADA",
        "first_name": "CLAUDIA",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303295",
            "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 Nov 2, 2013; 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.