NPIMap

Organization Active NPI

The Pain Relief and Wellness Center of South Hadley

  • Chiropractor
  • South Hadley, MA
National Provider Identifier
1467599811
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1770 Issued in MA
Legal business name
THE PAIN RELIEF AND WELLNESS CENTER OF SOUTH HADLEY
Practice address
130 College St
Suite 50
South Hadley, MA 01075-1493
Phone
(413) 532-1177
Fax
(413) 532-3466
NPI assigned
Feb 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Deborah Debastiani Whittaker, D.C.NPI 1730216169
Title
President
Phone
(413) 532-1177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1770 MA Primary

Addresses

Primary practice location

130 College St
Suite 50
South Hadley, MA 01075-1493

Mailing address

130 College St
Suite 50
South Hadley, MA 01075-1493
Phone (413) 532-1177

Other identifiers 1

IdentifierTypeStateIssuer
439552OtherMABLUE CROSS BLUE SHIELD

Other names 1

  • Dr. Deborah DeBastiani Other name

National Provider Directory

National Provider Directory

Locations

130 College St
Ste 50
South Hadley, MA 01075
Phone (413) 532-1177

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467599811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 COLLEGE ST",
            "address_2": "SUITE 50",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751493",
            "telephone_number": "413-532-1177",
            "fax_number": "413-532-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 COLLEGE ST",
            "address_2": "SUITE 50",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751493",
            "telephone_number": "413-532-1177",
            "fax_number": "413-532-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAIN RELIEF AND WELLNESS CENTER OF SOUTH HADLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITTAKER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "DEBASTIANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-532-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "439552",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Deborah DeBastiani",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Hadley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.