Organization Active NPI

Hampden Hearing Services, Inc.

Doing business as Hampden Hearing Center East

  • Audiologist
  • East Longmeadow, MA
National Provider Identifier
1952335895
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
265 Issued in MA
Legal business name
HAMPDEN HEARING SERVICES, INC.
Doing business as
Hampden Hearing Center East
Practice address
200 N Main St
North Building, Suite 103
East Longmeadow, MA 01028-2392
Phone
(413) 525-7979
Fax
(413) 525-8303
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Susan Bankoski Chunyk, AU.D.
Title
President/Owner
Phone
(413) 525-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 265 MA Primary

Addresses

Primary practice location

200 N Main St
North Building, Suite 103
East Longmeadow, MA 01028-2392

Mailing address

200 N Main St
North Building, Suite 103
East Longmeadow, MA 01028-2392
Phone (413) 525-7979

Other identifiers 3

IdentifierTypeStateIssuer
AG0006OtherMABC/BS GROUP NUMBER
000000020602OtherMABMC HEALTHNET GROUP NMBR
9712950MedicaidMA

Other names 1

  • Hampden Hearing Center East Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040708000385 MA Part B Supplier - Clinic/Group Practice 1658359534 Receives reassigned benefits from 2 practitioners
Practice locations: East Longmeadow, MA

National Provider Directory

National Provider Directory

Locations

200 N Main St
Ste 103
East Longmeadow, MA 01028
Phone (413) 525-7979

Practitioners & affiliated clinicians

Practitioners 2

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952335895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST",
            "address_2": "NORTH BUILDING, SUITE 103",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282392",
            "telephone_number": "413-525-7979",
            "fax_number": "413-525-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST",
            "address_2": "NORTH BUILDING, SUITE 103",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282392",
            "telephone_number": "413-525-7979",
            "fax_number": "413-525-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPDEN HEARING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUNYK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "BANKOSKI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "413-525-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MA",
            "license": "265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP NUMBER",
            "identifier": "AG0006",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET GROUP NMBR",
            "identifier": "000000020602",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9712950",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hampden Hearing Center East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.