NPIMap

Organization Active NPI

Psychological &Counseling Service Associates

  • Psychologist
  • Springfield, MA
National Provider Identifier
1225223753
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6342 Issued in MA
Legal business name
PSYCHOLOGICAL &COUNSELING SERVICE ASSOCIATES
Practice address
80 Congress St
Springfield, MA 01104-3427
Phone
(413) 732-1220
Fax
(413) 732-1228
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Ms. Brunilda Deleon, ED.D
Title
Licensed Psychologist
Phone
(413) 736-0395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 6342 MA Primary

Addresses

Primary practice location

80 Congress St
Springfield, MA 01104-3427

Mailing address

80 Congress St
Springfield, MA 01104-3427
Phone (413) 732-1220

Other identifiers 1

IdentifierTypeStateIssuer
W50741MedicaidMA

National Provider Directory

National Provider Directory

Locations

80 Congress St
Springfield, MA 01104
Phone (413) 732-0040

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1225223753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CONGRESS ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043427",
            "telephone_number": "413-732-1220",
            "fax_number": "413-732-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CONGRESS ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043427",
            "telephone_number": "413-732-1220",
            "fax_number": "413-732-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL &COUNSELING SERVICE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "BRUNILDA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "413-736-0395",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MA",
            "license": "6342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W50741",
            "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 Sep 7, 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.

Verify at the official NPI Registry.