Active NPI
Jaime Thayer-Awoniyi
- Clinical Social Worker
- Wilbraham, MA
National Provider Identifier
1497983530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 119657
- Practice address
- 2207 Boston Rd
Wilbraham, MA 01095-1155 - Phone
- (413) 995-1201
- NPI assigned
- Jun 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 119657 | MA | Primary |
Addresses
Primary practice location
2207 Boston Rd
Wilbraham, MA 01095-1155
Mailing address
2207 Boston Rd
Wilbraham, MA 01095-1155
Phone (413) 599-1201
Other names 1
- Jaime Thayer
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119657 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George F Vitek MD & Associates PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Adolescent Medicine Physician
- Wilbraham, MA
- NPI 1457393506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1497983530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2207 BOSTON RD",
"city": "WILBRAHAM",
"state": "MA",
"postal_code": "010951155",
"telephone_number": "413-599-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2207 BOSTON RD",
"city": "WILBRAHAM",
"state": "MA",
"postal_code": "010951155",
"telephone_number": "413-995-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAYER-AWONIYI",
"first_name": "JAIME",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-28",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "119657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAIME",
"last_name": "THAYER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilbraham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.