Organization Active NPI

Clinical Art Associates, LL

  • Community/Behavioral Health Agency
  • South Deerfield, MA
National Provider Identifier
1629202403
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5466 Issued in MA
Legal business name
CLINICAL ART ASSOCIATES, LL
Practice address
235 Greenfield Rd
South Deerfield, MA 01373-9753
Phone
(413) 665-2110
Fax
(413) 774-7021
NPI assigned
May 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Ms. Holly N Majkut, LMHC
Title
Program Director
Phone
(413) 665-2110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5466 MA Primary

Addresses

Primary practice location

235 Greenfield Rd
South Deerfield, MA 01373-9753

Mailing address

235 Greenfield Rd
South Deerfield, MA 01373-9753
Phone (413) 665-2110

Other identifiers 2

IdentifierTypeStateIssuer
1895834MedicaidMA
1895842MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1629202403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 GREENFIELD RD",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013739753",
            "telephone_number": "413-665-2110",
            "fax_number": "413-774-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 GREENFIELD RD",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013739753",
            "telephone_number": "413-665-2110",
            "fax_number": "413-774-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL ART ASSOCIATES, LL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "MAJKUT",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "413-665-2110",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "5466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1895834",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1895842",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Deerfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.