Western Massachusetts Psychiatric Specialists, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WESTERN MASSACHUSETTS PSYCHIATRIC SPECIALISTS, LLC

Practice address

175 Dwight Rd Ste 103
Longmeadow, MA 01106-1767

Phone

(413) 266-8326

Fax

(413) 317-7218

NPI assigned

Aug 19, 2018

Organization subpart

No

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

Authorized official

Name

Nicholas Tobin, N.P., C.N.S.NPI 1174685986

Title

President

Phone

(413) 266-8326

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Tobin, C.N.P., P.C.N.S.

  • Psychiatric/Mental Health Nurse Practitioner
  • Longmeadow, MA
  • NPI 1174685986
  Medicare reassignment Care Compare group NPD Authorized official
• Luz M Haya

  • Social Worker
  • Longmeadow, MA
  • NPI 1760822126
  Medicare reassignment Care Compare group NPD
• Evelyn Morales, MSW

  • Social Worker
  • Springfield, MA
  • NPI 1144411109
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1534636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1437639432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 DWIGHT RD STE 103",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061767",
            "telephone_number": "413-266-8326",
            "fax_number": "413-317-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 DWIGHT RD STE 103",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061767",
            "telephone_number": "413-266-8326",
            "fax_number": "413-317-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MASSACHUSETTS PSYCHIATRIC SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-19",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-266-8326",
        "authorized_official_credential": "N.P., C.N.S."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Welch, OTR/L
• Logan David Welch
• Mary Ann Wesolowski - Williams, LICSW
• Callyn West
• Western Mass Professional Group
• Andrew Scott Wetstone, MD
• Talia Wexler
• Emily Whitman
• Kevin Wijewardena
• Elizaann Wilkins-Carmody

• Psychiatric/Mental Health Nurse Practitioner in Longmeadow, MA
• Providers in Longmeadow, 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 Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.