Active NPI
Antonio Andres Alfonzo Diaz
- Counselor
- Holyoke, MA
National Provider Identifier
1699308403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 80 Commercial St
Holyoke, MA 01040-4704 - Phone
- (413) 846-0445
- NPI assigned
- Feb 20, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
80 Commercial St
Holyoke, MA 01040-4704
Mailing address
80 Commercial St
Holyoke, MA 01040-4704
Phone (413) 846-0445
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 997303 | Other | MA | NETWORK HEALTH |
| 1134107113 | Other | MA | MBHP |
| 1134107113 | Other | MA | FALLON |
| 1134107113 | Medicaid | MA | |
| 1134107113 | Other | MA | NHP |
| 1134107113 | Other | MA | BEACON |
| 042622756 | Other | MA | CCA |
| 12529 | Other | MA | HNE |
| 71756 | Other | MA | TUFTS |
| Y10086 | Other | MA | MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gandara Mental Health Center | Counselor | 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.
-
- Counselor
- Springfield, MA
- NPI 1740723436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1699308403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 COMMERCIAL ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010404704",
"telephone_number": "413-846-0445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 COMMERCIAL ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010404704",
"telephone_number": "413-846-0445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFONZO DIAZ",
"first_name": "ANTONIO",
"middle_name": "ANDRES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-20",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "997303",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHP",
"identifier": "1134107113",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "1134107113",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134107113",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "1134107113",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON",
"identifier": "1134107113",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCA",
"identifier": "042622756",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HNE",
"identifier": "12529",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "71756",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Y10086",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.