Pumukqien E.M. Collins, LMHC,LSWA,NCC-CCMHC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6295 Issued in MA

Practice address

483 Great Neck Rd S BLDG a
Mashpee, MA 02649-3707

Phone

(508) 477-6967

NPI assigned

Mar 20, 2009

Last updated

May 1, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mashpee Service Unit/Indian Health Service

  • Community Health Clinic/Center
  • Mashpee, MA
  • NPI 1992001457

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1194966101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 GREAT NECK RD S BLDG A",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493707",
            "telephone_number": "508-477-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 GREAT NECK RD S BLDG A",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493707",
            "telephone_number": "508-477-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "PUMUKQIEN",
        "middle_name": "E.M.",
        "credential": "LMHC,LSWA,NCC-CCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "6295",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "410725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Aisling Clifford, PHYSICIAN ASSISTANT
• Clinical Assessment and Consultation
• Karen Ann Clow-Milroy
• Jennifer Cochran
• Robert Miles Cohen, M.D.
• Common Ground Counseling & Personal Growth Center, LLC
• Commonview Inc
• Community Health Center of Cape Cod Inc (Community Health Center of Cape Cod)
• Community Health Center of Cape Cod, Inc.
• Community Health Center of Cape Cod, Inc.

• Psychologist in Mashpee, MA
• Providers in Mashpee, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.