Organization Active NPI

Stepping Stones Psychiatry, LLC

  • Psychiatry Physician
  • West Springfield, MA
National Provider Identifier
1679155923
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
STEPPING STONES PSYCHIATRY, LLC
Practice address
201 Park Ave Ste 5
West Springfield, MA 01089-3366
Phone
(413) 300-3999
Fax
(413) 315-5743
NPI assigned
Apr 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Elizabeth F Gormally
Title
Biller
Phone
(413) 531-5624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

201 Park Ave Ste 5
West Springfield, MA 01089-3366

Mailing address

201 Park Ave Ste 5
West Springfield, MA 01089-3366
Phone (413) 300-3999

Other identifiers 2

IdentifierTypeStateIssuer
110033706AMedicaidMA
110052741BMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210730000961 MA Part B Supplier - Clinic/Group Practice 6709289531 Receives reassigned benefits from 3 practitioners
Practice locations: West Springfield, MA

National Provider Directory

National Provider Directory

Locations

201 Park Ave
Ste 5
West Springfield, MA 01089
Phone (413) 300-3999

Practitioners & affiliated clinicians

Practitioners 5

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": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1679155923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK AVE STE 5",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893366",
            "telephone_number": "413-300-3999",
            "fax_number": "413-315-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARK AVE STE 5",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893366",
            "telephone_number": "413-300-3999",
            "fax_number": "413-315-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING STONES PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "GORMALLY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "413-531-5624"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110033706A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110052741B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.