Individual provider Active NPI

Angelica S. Harakas, APRN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Holyoke, MA
National Provider Identifier
1881747608
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
215277 Issued in MA
Practice address
1727 Northampton St
Holyoke, MA 01040-1919
Phone
(413) 532-1926
Fax
(413) 532-1928
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 215277 MA Primary

Addresses

Primary practice location

1727 Northampton St
Holyoke, MA 01040-1919

Mailing address

44 Pomeroy Ter
Northampton, MA 01060-3304
Phone (413) 582-7076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050809000346 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 6800825951 Practice locations: Holyoke, MA; Northampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1236 Main St
Holyoke, MA 01040-2955
Phone (413) 313-6343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881747608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 POMEROY TER",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603304",
            "telephone_number": "413-582-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 NORTHAMPTON ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010401919",
            "telephone_number": "413-532-1926",
            "fax_number": "413-532-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARAKAS",
        "first_name": "ANGELICA",
        "middle_name": "S.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MA",
            "license": "215277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.