NPIMap

Organization Active NPI

Awareness Therapy Center, LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • East Longmeadow, MA
National Provider Identifier
1649798000
Registry record updated Jan 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
216641 Issued in MA
Legal business name
AWARENESS THERAPY CENTER, LLC
Practice address
264 N Main St Ste 1a
East Longmeadow, MA 01028-1815
Phone
(413) 262-6920
NPI assigned
Sep 6, 2017
Last updated
Jan 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2019

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

Authorized official

Name
Ricardo A Mujica, MDNPI 1356359152
Title
Owner
Phone
(413) 262-6920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X 216641 MA Primary

Addresses

Primary practice location

264 N Main St Ste 1a
East Longmeadow, MA 01028-1815

Mailing address

264 N Main St Ste 1a
East Longmeadow, MA 01028-1815
Phone (413) 417-4911

National Provider Directory

National Provider Directory

Locations

264 N Main St
Ste 1A
East Longmeadow, MA 01028
Phone (413) 417-4911

Practitioners & affiliated clinicians

Practitioners 1

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": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547251200000",
    "number": "1649798000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 N MAIN ST STE 1A",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281815",
            "telephone_number": "413-417-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 N MAIN ST STE 1A",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281815",
            "telephone_number": "413-262-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWARENESS THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2019-01-12",
        "status": "A",
        "authorized_official_last_name": "MUJICA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-262-6920",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "MA",
            "license": "216641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.