Active NPI
Judith Fanelli, LMT
- Massage Therapist
- Springfield, MA
National Provider Identifier
1225315765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 9841
- Practice address
- 155 Maple St
Suite 102
Springfield, MA 01105-2649 - Phone
- (413) 285-8060
- Fax
- (413) 285-8061
- NPI assigned
- Nov 11, 2011
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 9841 | MA | Primary |
Addresses
Primary practice location
155 Maple St
Suite 102
Springfield, MA 01105-2649
Mailing address
850 High St
Suite 2B
Holyoke, MA 01040-3739
Phone (413) 536-0142
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 |
|---|---|---|---|
| 9841 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320969600000",
"number": "1225315765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 HIGH ST",
"address_2": "SUITE 2B",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010403739",
"telephone_number": "413-536-0142",
"fax_number": "413-536-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MAPLE ST",
"address_2": "SUITE 102",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011052649",
"telephone_number": "413-285-8060",
"fax_number": "413-285-8061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANELLI",
"first_name": "JUDITH",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-11",
"last_updated": "2011-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "9841",
"primary": true
}
],
"identifiers": [],
"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 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.