The Commonwealth of Massachusetts
Organization Active NPI Prison Health Clinic/Center · Greenfield, MA
NPI 1255215927 · NPPES record last updated Aug 4, 2025
Key facts
- NPI
- 1255215927
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prison Health Clinic/Center 261QP2400X
- Legal business name
- THE COMMONWEALTH OF MASSACHUSETTS
- Practice address
- 160 Elms Street
Greenfield, MA 01301 - Phone
- (413) 774-4014
- NPI assigned
- Aug 4, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- THE COMMONWEALTH OF MASSACHUSETTS
Authorized official
- Name
- Nicole Guertin
- Title
- Chief of Staff
- Phone
- (413) 774-4014
Corporate family (same tax ID) 24
Practitioners 4
-
Kristyn E Lattanzi, LCSW
-
Viorika Ivancheva, DNP, FNP
-
WM Levine, FNP
-
Alexandra Margosian, LICSW
National Provider Directory
- Tax ID family
- C Stanley Raymond
- Part of
- C Stanley Raymond
Locations
160 Elm St
Greenfield, MA 01301
Phone (413) 774-4014
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prison Health Clinic/Center | 261QP2400X | Yes |
Addresses
Primary practice location
160 Elms Street
Greenfield, MA 01301
Mailing address
160 Elms Street
Greenfield, MA 01301
Other names
- Enter DBA name for your facility
NPI Registry JSON
{
"created_epoch": "1754265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754265600000",
"number": "1255215927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 ELMS STREET",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "01301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 ELMS STREET",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "01301",
"telephone_number": "413-774-4014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE COMMONWEALTH OF MASSACHUSETTS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE COMMONWEALTH OF MASSACHUSETTS",
"enumeration_date": "2025-08-04",
"last_updated": "2025-08-04",
"status": "A",
"authorized_official_last_name": "GUERTIN",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "CHIEF OF STAFF",
"authorized_official_telephone_number": "413-774-4014"
},
"taxonomies": [
{
"code": "261QP2400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Prison Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Enter DBA name for your facility",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenfield, MA
- Katie Rebecca Temes
- Michael A. Terwilliger
- Alexander Tew
- Mahima Shaileshbhai Thakkar
- Nuk Thann
- The Community Young Men'S Christian Association of Greenfield, Mass
- The Stop & Shop Supermarket Company, LLC
- The United Arc of Franklin & Hampshire Co
- Nicholas Peter Theberge
- Kelly Thibodeau
All providers in Greenfield, MA · Prison Health Clinic/Center in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.