Active NPI
Gabriella Necklas, AU.D.
- Audiologist
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4693-SP-AU
- Practice address
- 175 Carew St
Springfield, MA 01104-2389 - Phone
- (413) 748-6840
- NPI assigned
- Jun 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 4693-SP-AU | MA | Primary |
Addresses
Primary practice location
175 Carew St
Springfield, MA 01104-2389
Mailing address
2346 Bigelow CMNS
Enfield, CT 06082-3342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
988 Silas Deane Hwy
Wethersfield, CT 06109-4227
Phone (860) 493-1950
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.45 of 100
- Quality
- 97.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4693 | MA | MD | Clinical Psychologist |
| 4693-SP-AU | MA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Ear, Nose & Throat Associates, P.C. | Current | Accepting new patients |
Locations
15 Palomba Dr
Ste 1
Enfield, CT 06082
Phone (860) 493-1950
499 Farmington Ave
Ste 210
Farmington, CT 06032
Phone 8604931950139
300 Hebron Ave
Ste 202
Glastonbury, CT 06033
Phone (860) 659-2759
85 Seymour St
Ste 318
Hartford, CT 06106
Phone (860) 493-1950
2800 Tamarack Ave
Ste 208
South Windsor, CT 06074
988 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 493-1950
Interoperability endpoints
- gnecklas547676@xdr.hhchealthdirect.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Wethersfield, CT
- NPI 1528168705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498348800000",
"number": "1902326549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2346 BIGELOW CMNS",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 CAREW ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011042389",
"telephone_number": "413-748-6840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NECKLAS",
"first_name": "GABRIELLA",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-25",
"last_updated": "2017-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "4693-SP-AU",
"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 Jun 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.