Individual provider Active NPI

Stephanie Elfman

  • Case Manager/Care Coordinator
  • Gardner, MA
National Provider Identifier
1316546153
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
16 W Broadway
Gardner, MA 01440-3346
Phone
(978) 632-0934
NPI assigned
Oct 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

16 W Broadway
Gardner, MA 01440-3346

Mailing address

208 Coleman St
Gardner, MA 01440-3767
Phone (978) 632-0934

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL selfman@gaamha.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gaamha, Inc CurrentSince Mar 31, 2024 Accepting new patients
Gaamha, Inc PastSince Oct 25, 2020 Accepting new patients

Locations

208 Coleman St
Gardner, MA 01440
Phone (978) 632-0934

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1316546153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 COLEMAN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403767",
            "telephone_number": "978-632-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 W BROADWAY",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403346",
            "telephone_number": "978-632-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFMAN",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "selfman@gaamha.org",
            "affiliation": "N",
            "address_1": "16 W Broadway",
            "city": "Gardner",
            "state": "MA",
            "country_code": "US",
            "postal_code": "014403346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.