Holyoke Sud, LLC

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

Legal business name

HOLYOKE SUD, LLC

Doing business as

MiraVista Behavioral Health Center

Practice address

1233 Main St
Holyoke, MA 01040-5381

Phone

(413) 701-2600

NPI assigned

Apr 29, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Michael Krupa, ED.D.

Title

Ceo

Phone

(978) 615-5200

Specialties & licenses 2

Addresses

Other names 1

• MiraVista Behavioral Health Center Doing business as

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1396328118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 PATTON RD",
            "city": "DEVENS",
            "state": "MA",
            "postal_code": "014344401",
            "telephone_number": "978-615-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 MAIN ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405381",
            "telephone_number": "413-701-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLYOKE SUD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "KRUPA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-615-5200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MiraVista Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holyoke Orthopedics, Inc.
• Holyoke Pediatric Associates, LLP
• Holyoke Radiologists Inc
• Holyoke Retirement Community Inc.
• Holyoke Smiles Youth Dentistry, LLC
• Holyoke Visiting Nurse Association, Inc.
• Holyoke Visiting Nurse Association, Inc.
• Home Health Solutions
• Karen Horgan
• Deborah Horn

• Substance Use Disorder Rehabilitation Hospital Unit in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.