Ileana Miranda-Velazquez, CNS

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

236837 Issued in MA

Practice address

108 Russell St
Hadley, MA 01035-9595

Phone

(413) 387-0075

Fax

(413) 387-0074

NPI assigned

Jan 4, 2006

Sex

Female

Sole proprietor

Yes

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: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

University of Puerto Rico School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Servicenet IncGroup PAC ID 6901797950, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

Practice roles

Locations

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.

• Servicenet Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Northampton, MA
  • NPI 1659314425
  Medicare reassignment Care Compare group NPD
• Institute of Human Solutions LLC

  dba IHS

  • Child & Adolescent Psychiatry Physician
  • Northampton, MA
  • NPI 1033361845
  Medicare reassignment
• Gandara Mental Health Center Inc

  • Mental Health Counselor
  • Springfield, MA
  • NPI 1134107113
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cooley Dickinson Hospital Inc

  • General Acute Care Hospital
  • Northampton, MA
  • NPI 1477596310
  Care Compare affiliation
• Cooley Dickinson Hospital Inc

  • Psychiatric Hospital Unit
  • Northampton, MA
  • NPI 1871512814
  Care Compare affiliation

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1902884687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PLEASANT ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604127",
            "telephone_number": "413-587-7500",
            "fax_number": "413-585-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 RUSSELL ST",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010359595",
            "telephone_number": "413-387-0075",
            "fax_number": "413-387-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA-VELAZQUEZ",
        "first_name": "ILEANA",
        "name_prefix": "Mrs.",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "236837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carroll Suzanne McGrath, RNPC, PMHCNS-BC
• Aidza Y. McKenzie, PH.D.
• Medexpress Urgent Care, PC - Massachusetts (MedExpress Urgent Care - Hadley, Russell St)
• Gail Epstein Mengel, PH.D.
• Autumn Middlemass
• George J. Mitrolka Jr., ATC
• Theodore Nathaniel Moser, LMT, CPMT II, CIMT
• Jeffrey Howard Moss, DDS, CNS, DACBN
• Linda Louise Murphy, MSW
• Nancy Solow

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Hadley, MA
• Providers in Hadley, MA by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.