Organization Active NPI

Innovative Physician Services LLC

Doing business as IPS Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
National Provider Identifier
1366269649
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INNOVATIVE PHYSICIAN SERVICES LLC
Doing business as
IPS Behavioral Health Clinic
Practice address
490 Page Blvd
Springfield, MA 01104-3026
Phone
(413) 349-5033
Fax
(413) 363-9123
NPI assigned
Sep 26, 2024
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Juan J Salgado
Title
Admin
Phone
(413) 349-5033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

490 Page Blvd
Springfield, MA 01104-3026

Mailing address

95 Frank B Murray St
Springfield, MA 01103-1106
Phone (413) 349-5033

Other practice location 1

512 W Cherry St Ste C
Kissimmee, FL 34741-4114
Phone (321) 400-5013

Other names 1

  • IPS Behavioral Health Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

95 Frank B Murray St
Springfield, MA 01103
Phone (413) 285-8586

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1366269649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 FRANK B MURRAY ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031106",
            "telephone_number": "413-349-5033",
            "fax_number": "413-363-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 PAGE BLVD",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043026",
            "telephone_number": "413-349-5033",
            "fax_number": "413-363-9123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 W Cherry St Ste C",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414114",
            "country_code": "US",
            "telephone_number": "321-400-5013",
            "fax_number": "413-363-9123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNOVATIVE PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "SALGADO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "413-349-5033"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IPS Behavioral Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IPS Behavioral Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 5, 2025; 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.