Organization Active NPI

Addiction Campuses Professional Services of Massachusetts PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Cummington, MA
National Provider Identifier
1306458690
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
ADDICTION CAMPUSES PROFESSIONAL SERVICES OF MASSACHUSETTS PLLC
Practice address
151 South St
Cummington, MA 01026-9501
Phone
(413) 634-3600
Fax
(413) 634-5300
NPI assigned
Aug 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Leigh Ann Thompson
Title
Senior Director
Phone
(615) 921-4447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084A0401X Primary

Addresses

Primary practice location

151 South St
Cummington, MA 01026-9501

Mailing address

205 Reidhurst Ave
Nashville, TN 37203-1618
Phone (615) 921-4447

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1306458690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 REIDHURST AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031618",
            "telephone_number": "615-921-4447",
            "fax_number": "615-921-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SOUTH ST",
            "city": "CUMMINGTON",
            "state": "MA",
            "postal_code": "010269501",
            "telephone_number": "413-634-3600",
            "fax_number": "413-634-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION CAMPUSES PROFESSIONAL SERVICES OF MASSACHUSETTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "615-921-4447"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cummington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.