Phases Mental Health Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PHASES MENTAL HEALTH SERVICES, LLC

Practice address

955 River Rd
Agawam, MA 01001-2884

Phone

(413) 612-8248

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Silva

Title

Coo

Phone

(413) 612-8248

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1356049233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 RIVER RD",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012884",
            "telephone_number": "413-612-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 RIVER RD",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012884",
            "telephone_number": "413-612-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASES MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "413-612-8248",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryann Elizabeth Paleologopoulos, LICSW
• Debora Jean Patrick, MA. CCC-SLP
• Pediatric Ophthalmology of Western Massachusetts, LLC
• Linda Ann Pezzini, OTR
• Lillian Pham, DMD
• Joelle Lynn Phillips
• Kara A Phillips, PTA
• Kimberly Ann Pilon, COTA
• Kristin Pisano, PA-C
• Joy A. Poggi, L.M.T.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Agawam, MA
• Providers in Agawam, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.