Active NPI
Alice Mazzaferro
- Technician/Technologist
- Springfield, MA
National Provider Identifier
1194940965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- 5133
- Practice address
- 299 Carew St
Suite201
Springfield, MA 01104-2301 - Phone
- (413) 732-4589
- NPI assigned
- Apr 16, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | 5133 | MA | Primary |
Addresses
Primary practice location
299 Carew St
Suite201
Springfield, MA 01104-2301
Mailing address
85 Maxwell Rd
Monson, MA 01057-9438
Phone (413) 283-4316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0317624 | Medicaid | MA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5133 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194940965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 MAXWELL RD",
"city": "MONSON",
"state": "MA",
"postal_code": "010579438",
"telephone_number": "413-283-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 CAREW ST",
"address_2": "SUITE201",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011042301",
"telephone_number": "413-732-4589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZAFERRO",
"first_name": "ALICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "MA",
"license": "5133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0317624",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.