Erin D'Avella, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

403639 Issued in NY

Practice address

11 Quarry Hill Rd
Lee, MA 01238-9645

Phone

(413) 243-0536

Fax

(866) 614-0781

NPI assigned

Sep 23, 2021

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Programs IncGroup PAC ID 5799746608, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erin.d.avella.1@3792.direct.athenahealth.com

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

• Community Health Programs, Inc.

  dba CHP community Health Center

  • Federally Qualified Health Center (FQHC)
  • Great Barrington, MA
  • NPI 1013953009
  Medicare reassignment Care Compare group NPD
• Community Health Programs

  dba CHP Lee Family Practice

  • Community Health Clinic/Center
  • Lee, MA
  • NPI 1689945784
  NPD
• Community Health Programs, Inc.

  dba CHP Berkshire Pediatrics

  • Pediatrics Physician
  • Pittsfield, MA
  • NPI 1942720214
  NPD

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1376214932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 TYLER ST APT M202",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014281",
            "telephone_number": "413-281-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 QUARRY HILL RD",
            "city": "LEE",
            "state": "MA",
            "postal_code": "012389645",
            "telephone_number": "413-243-0536",
            "fax_number": "866-614-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AVELLA",
        "first_name": "ERIN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2273710",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collaborative Endeavors, LLC
• Claudia Ann Colombari
• Community Health Programs (CHP Lee Family Practice)
• Thomas Consolati, MD
• Robin Mary Coulehan, PSYCHOLOGIST
• Ajay R Desai, PHARMD
• Michael George Dominov, DDS
• Samuel Bismark Donkor
• Kaitlynn Drees
• Charly El-Zoghbi

• Psychiatric/Mental Health Nurse Practitioner in Lee, MA
• Providers in Lee, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.