Active NPI
Clinical & Support Options, Inc
- Community/Behavioral Health Agency
- Greenfield, MA
National Provider Identifier
1831265115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CLINICAL & SUPPORT OPTIONS, INC
- Practice address
- 1 Arch PL
Greenfield, MA 01301-2457 - Phone
- (413) 774-1000
- Fax
- (413) 774-1776
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karin Jeffers
- Title
- President & Ceo
- Phone
- (413) 773-1314
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1 Arch PL
Greenfield, MA 01301-2457
Mailing address
1 Arch PL
Greenfield, MA 01301-2457
Phone (413) 774-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300601 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041007000491 | MA | Part B Supplier - Clinic/Group Practice | 6608835350 |
Receives reassigned benefits from 172 practitioners Practice locations: Pittsfield, MA; Springfield, MA; Northampton, MA; Greenfield, MA; Gardner, MA; Athol, MA |
National Provider Directory
National Provider DirectoryLocations
2033 Main St
#2
Athol, MA 01331
Phone (978) 249-9490
31 Lake St
Ste 161
Gardner, MA 01440
205 School St
Ste 301
Gardner, MA 01440
Phone (978) 488-8888
215 Shelburne Rd
Greenfield, MA 01301
Phone (413) 772-1000
130 Maple St
Ste 325
Springfield, MA 01103
1 Federal St
Bldg 102-3
Springfield, MA 01105
Phone (413) 734-4978
Practitioners & affiliated clinicians
Practitioners 270
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363046400000",
"number": "1831265115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ARCH PL",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012457",
"telephone_number": "413-774-1000",
"fax_number": "413-774-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ARCH PL",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012457",
"telephone_number": "413-774-1000",
"fax_number": "413-774-1776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICAL & SUPPORT OPTIONS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2013-03-12",
"status": "A",
"authorized_official_last_name": "JEFFERS",
"authorized_official_first_name": "KARIN",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "413-773-1314"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1300601",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.