Individual provider Active NPI

Elaine N Lehan-Fitzgerald, M.D.

  • Psychiatry Physician
  • East Longmeadow, MA
National Provider Identifier
1447269899
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
223161 Issued in MA
Practice address
305 Maple St
East Longmeadow, MA 01028-2765
Phone
(413) 525-6361
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 223161 MA Primary

Addresses

Primary practice location

305 Maple St
East Longmeadow, MA 01028-2765

Mailing address

PO Box 156
Feeding Hills, MA 01030-0156
Phone (413) 747-0705

Other identifiers 1

IdentifierTypeStateIssuer
1300865MedicaidMA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041109000496 MA Practitioner - Psychiatry 0244205573 Practice locations: Wilbraham, MA; South Hadley, MA; Longmeadow, MA; Holyoke, MA; East Longmeadow, MA; Hampden, MA; Agawam, MA; Chicopee, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Heather Wark MD LLC Current Accepting new patients
Vantage at Hampden LLC Past Accepting new patients
Baystate Medical Practices, Inc Psychiatry Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1447269899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010300156",
            "telephone_number": "413-747-0705",
            "fax_number": "413-747-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MAPLE ST",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282765",
            "telephone_number": "413-525-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHAN-FITZGERALD",
        "first_name": "ELAINE",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "223161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300865",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.