Mitchell I. Clionsky, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

2113 Issued in MA

Legal business name

MITCHELL I. CLIONSKY, PH.D.

Practice address

155 Maple St
Suite 203
Springfield, MA 01105-1828

Phone

(413) 734-3331

Fax

(413) 739-1652

NPI assigned

Jan 21, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Rebekah L Mayou

Title

Office Manager

Phone

(413) 734-3331

Specialties & licenses 1

Addresses

Other names 1

• Neuro-Psychology Associates of Western Massachusetts Doing business as

Locations

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1285871772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MAPLE ST",
            "address_2": "SUITE 203",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051828",
            "telephone_number": "413-734-3331",
            "fax_number": "413-739-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MAPLE ST",
            "address_2": "SUITE 203",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051828",
            "telephone_number": "413-734-3331",
            "fax_number": "413-739-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL I. CLIONSKY, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "MAYOU",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "413-734-3331",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "2113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuro-Psychology Associates of Western Massachusetts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ely Miranda
• Johnny Miranda, B.A
• Julio A. Miranda, M.D.
• Ana M Mirbon
• Bipinchandra Mistry, MD
• Alison Mitchell
• Azania Nishann Mitchell, MD
• Kelsie Mitchell, DO
• Patricia Mitchell
• Shawnique Larai Mitchell, BA

• All providers in Springfield, MA
• Clinical Neuropsychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.