Awareness Therapy Center, LLC

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

Organization subpart

No

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

Authorized official

Name

Ricardo A Mujica, MD

Title

Owner

Phone

(413) 262-6920

Specialties & licenses 1

Addresses

Locations

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": []
}

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• Behavioral Neurology & Neuropsychiatry Physician in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Massachusetts

• 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.