Rose Pendala Andrejczyk, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

20 New Ludlow Rd
South Hadley, MA 01075-3002

Phone

(413) 536-1958

NPI assigned

Nov 10, 2008

Last updated

Nov 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Supportive Behavioral Care of Mass LLCGroup PAC ID 8123530169, 49 clinicians

Supportive Behavioral Care of Ma LLCGroup PAC ID 8628346731, 103 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/rvccinc/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Supportive Behavioral Care of Ma LLC

  • Clinical Psychologist
  • Needham, MA
  • NPI 1780115519
  Medicare reassignment Care Compare group NPD
• Supportive Behavioral Care of Mass LLC

  • Psychologist
  • Stoneham, MA
  • NPI 1932914223
  Medicare reassignment Care Compare group NPD
• River Valley Counseling Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Holyoke, MA
  • NPI 1851444616
  Medicare reassignment NPD
• River Valley Counseling Center, Inc

  • Community/Behavioral Health Agency
  • Holyoke, MA
  • NPI 1003266727
  NPD (past)

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1760636385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NEW LUDLOW RD",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010753002",
            "telephone_number": "413-536-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NEW LUDLOW RD",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010753002",
            "telephone_number": "413-536-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREJCZYK",
        "first_name": "ROSE",
        "middle_name": "PENDALA",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Alford, MS FNP
• Cassandra C Allard
• Alternative Evaluations and Behavioral Consultations LLC
• Nicole Ann Amrani
• Rebecca G Anderson, PH.D.
• Yinia Arce', LADC I
• Lauren E. Arcibal, PT
• Paula M Arends, LICSW
• Kathleen J Arnold, BS NUTRITION
• Elizabeth Gallup Atkins, OTR/L

• Psychologist in South Hadley, MA
• Providers in South Hadley, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.