Active NPI
Vanessa Sheree Chung-Bryan
- Counselor
- Springfield, MA
National Provider Identifier
1487094900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1695 Main St
Springfield, MA 01103-1348 - Phone
- (413) 739-5572
- NPI assigned
- Jun 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1695 Main St
Springfield, MA 01103-1348
Mailing address
1695 Main St
Springfield, MA 01103-1348
Phone (413) 739-5572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1487094900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1695 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031348",
"telephone_number": "413-739-5572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1695 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031348",
"telephone_number": "413-739-5572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG-BRYAN",
"first_name": "VANESSA",
"middle_name": "SHEREE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-28",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.