Trailhead Psychotherapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TRAILHEAD PSYCHOTHERAPY, LLC

Practice address

110 N Hillside Rd Ste 19
South Deerfield, MA 01373-9727

Phone

(413) 387-8355

NPI assigned

Aug 22, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Melissa L Eich-Richardson, LICSWNPI 1386026789

Title

Owner/Psychotherapist

Phone

(413) 387-8355

Specialties & licenses 1

Addresses

Other names 1

• Melissa L Eich-Richardson, LICSW Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Leann Eich-Richardson

  • Clinical Social Worker
  • South Deerfield, MA
  • NPI 1386026789
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1720635865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N HILLSIDE RD STE 21",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013739727",
            "telephone_number": "413-387-8355",
            "fax_number": "413-200-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N HILLSIDE RD STE 19",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013739727",
            "telephone_number": "413-387-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAILHEAD PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "EICH-RICHARDSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "413-387-8355",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melissa L Eich-Richardson, LICSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Melissa L Eich-Richardson, LICSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Town of Conway
• Town of Deerfield
• Town of Deerfield
• Town of Sunderland
• Town of Whately
• Jacqueline Tuttle, DOULA
• Jaime Lynn Veino
• Renato Wendel, LIC. AC.
• Lee White
• Sarah E Winston

• Clinical Social Worker in South Deerfield, MA
• Providers in South Deerfield, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.