Individual provider Active NPI

Michael Chunyk

  • Clinical Social Worker
  • Amherst, MA
National Provider Identifier
1215313994
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121197 Issued in MA
Practice address
48 N Pleasant St Ste 207
Amherst, MA 01002-1741
Phone
(413) 461-4042
NPI assigned
Aug 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 121197 MA Primary

Addresses

Primary practice location

48 N Pleasant St Ste 207
Amherst, MA 01002-1741

Mailing address

3 Brock Way
South Hadley, MA 01075-1324
Phone (413) 535-8728

Other practice location 1

319 Beech Street
Holyoke, MA 01040
Phone (413) 540-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20180627002363 MA Practitioner - Clinical Social Worker 5496001828 Reassigns benefits to 1 organization
Practice locations: Amherst, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amherst Psychotherapy Practice PCGroup PAC ID 6901231018, 24 clinicians

Practice addresses (Care Compare)

48 N Pleasant St
Suite 207
Amherst, MA 01002-1758
Phone (413) 200-8024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121197MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amherst Psychotherapy Practice PC Mental Health CurrentSince Nov 1, 2019 Accepting new patients
River Valley Counseling Center, Inc PastSince Mar 12, 2024 Accepting new patients

Locations

48 N Pleasant St
Ste 207
Amherst, MA 01002
Phone (413) 200-8024

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rvccinc/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1215313994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BROCK WAY",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751324",
            "telephone_number": "413-535-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N PLEASANT ST STE 207",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021741",
            "telephone_number": "413-461-4042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 Beech Street",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "01040",
            "country_code": "US",
            "telephone_number": "413-540-1115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNYK",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-05",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.