Mark Stanley Medina

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

179 Northampton St
Easthampton, MA 01027-1057

Phone

(413) 588-5555

NPI assigned

Jul 11, 2017

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1972025906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CAROL ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562110",
            "telephone_number": "413-531-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 NORTHAMPTON ST",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271057",
            "telephone_number": "413-588-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MARK",
        "middle_name": "STANLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Sarah McCarthy, M.D.
• Rua (Roisin) M McGarry
• Ray Eoghan McHale, PSYD
• Anna McHugh
• Kathryn McKenna-Weiss, NP
• Manfred Joseph Melcher, MSW
• Amanda Mercado
• Katelyn Merz
• Rocco Michael Micelotta
• Michelle Michaelian

• Mental Health Counselor in Easthampton, MA
• Providers in Easthampton, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.