Individual provider Active NPI

Amy Elizabeth Weissbach

  • Mental Health Counselor
  • Holyoke, MA
National Provider Identifier
1457669855
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
494 Appleton St
Holyoke, MA 01040-3211
Phone
(413) 552-0276
Fax
(413) 534-9044
NPI assigned
Sep 20, 2010
Last updated
Sep 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MA Primary

Addresses

Primary practice location

494 Appleton St
Holyoke, MA 01040-3211

Mailing address

494 Appleton St
Holyoke, MA 01040-3211
Phone (413) 552-0276

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140204001099 MA Practitioner - Clinical Social Worker 8325277874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

622 State St
Springfield, MA 01109-4104
Phone (413) 654-1602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Development, Inc CurrentSince Dec 10, 2013 Accepting new patients
Center for Human Development, Inc. Mental Health CurrentSince Dec 10, 2013 Accepting new patients

Locations

494 Appleton St
Holyoke, MA 01040
Phone (413) 420-2302

332 Birnie Ave
Springfield, MA 01107
Phone (413) 439-2189

367 Pine St
Springfield, MA 01105
Phone (413) 737-1426

622 State St
Springfield, MA 01109
Phone (413) 439-1200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1457669855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 APPLETON ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010403211",
            "telephone_number": "413-552-0276",
            "fax_number": "413-534-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 APPLETON ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010403211",
            "telephone_number": "413-552-0276",
            "fax_number": "413-534-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSBACH",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.