Active NPI
Lighthouse Integrated Health Group
- Internal Medicine Physician
- Springfield, MA
National Provider Identifier
1316276439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 81270
- Legal business name
- LIGHTHOUSE INTEGRATED HEALTH GROUP
- Practice address
- 181 State St
The Maplegate Building
Springfield, MA 01103-1719 - Phone
- (413) 781-1118
- NPI assigned
- Dec 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Valentine
- Title
- Ceo
- Phone
- (413) 781-1118
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5790 | MA | |
| Acupuncturist | 171100000X | 234468 | MA | |
| Internal Medicine Physician | 207R00000X | 81270 | MA | Primary |
| Massage Therapist | 225700000X | 6361 | MA |
Addresses
Primary practice location
181 State St
The Maplegate Building
Springfield, MA 01103-1719
Mailing address
181 State St
The Maplegate Building
Springfield, MA 01103-1719
Phone (413) 781-1118
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261180800000",
"number": "1316276439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 STATE ST",
"address_2": "THE MAPLEGATE BUILDING",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031719",
"telephone_number": "413-781-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 STATE ST",
"address_2": "THE MAPLEGATE BUILDING",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031719",
"telephone_number": "413-781-1118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTHOUSE INTEGRATED HEALTH GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-19",
"last_updated": "2009-12-19",
"status": "A",
"authorized_official_last_name": "VALENTINE",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "413-781-1118",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "5790",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "MA",
"license": "234468",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MA",
"license": "81270",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "MA",
"license": "6361",
"primary": false
}
],
"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 Dec 19, 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.