Elodie Leona Sammarco, B.S. ED

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

4665 Issued in MA

Practice address

1111 Elm St
Suite 1
West Springfield, MA 01089-1540

Phone

(413) 734-0300

Fax

(781) 551-9880

NPI assigned

Jul 13, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1255643763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 ELM ST",
            "address_2": "SUITE 1",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891540",
            "telephone_number": "413-734-0300",
            "fax_number": "781-551-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 ELM ST",
            "address_2": "SUITE 1",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891540",
            "telephone_number": "413-734-0300",
            "fax_number": "781-551-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMARCO",
        "first_name": "ELODIE",
        "middle_name": "LEONA",
        "name_prefix": "Ms.",
        "credential": "B.S. ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "4665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1803204",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "617927",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "E10021",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Salem, D.M.D.
• Samantha Marie Salem
• Cassandra Leah Salinardi, M.ED., LMHC
• Brian Layton Saltzman, D.M.D.
• Roberto B Salva-Otero, M.D.
• Jessica Paola Sanchez
• Kristine Sanders-Ayinde, RN
• Kiana Flora Santaniello
• Lorimar Santiago, BCBA
• Miosotys Santiago

• Behavior Analyst in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.