Organization Active NPI

Mande' Counseling

  • Community/Behavioral Health Agency
  • Springfield, MA
National Provider Identifier
1750737391
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
41DR Issued in MA
Legal business name
MANDE' COUNSELING
Practice address
1365 Main St Suite 401
Springfield, MA 01103
Phone
(877) 336-2770
NPI assigned
May 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Dr. Omar Gamal Reid, PSY.D
Title
President
Phone
(413) 391-1983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 41DR MA Primary

Addresses

Primary practice location

1365 Main St Suite 401
Springfield, MA 01103

Mailing address

1365 Main St Ste 401
Springfield, MA 01103-1685
Phone (877) 336-2770

National Provider Directory

National Provider Directory

Locations

1365 Main St
Ste 401
Springfield, MA 01103
Phone (877) 336-2770

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1750737391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 MAIN ST STE 401",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031685",
            "telephone_number": "877-336-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 MAIN ST SUITE 401",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01103",
            "telephone_number": "877-336-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDE' COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "GAMAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-391-1983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "41DR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.