JUDITH S. NISSENBAUM (NPI# 1023025657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023025657 |
| Entity Type | Individual |
| Full Name | JUDITH S. NISSENBAUM |
| Credential | PH.D |
| Practice Address |
1109 Granby Rd Chicopee MA 01020-1568 |
| Practice Telephone | 4135230900 |
| Practice Fax Number | 4135230901 |
| Mailing Telephone | 4135230900 |
| Mailing Fax Number | 4135230901 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2012-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3991 | MA | Behavioral Health & Social Service Providers |
| Street Address |
1109 GRANBY RD |
| City | CHICOPEE |
| State | MA |
| Zip Code | 01020-1568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154384113 | Robert L. Lounsbury | Internal Medicine | 1109 Granby Rd, Chicopee, MA 01020-1568 | 2006-04-10 |
| 1063991610 | Ashley M Reidy | Physician Assistant | 1109 Granby Rd, Chicopee, MA 01020-1568 | 2018-08-13 |
| 1609230846 | Riverbend Medical Group, Inc | Clinic/Center | 1109 Granby Rd, Chicopee, MA 01020 | 2016-04-13 |
| 1366805814 | Natasha Rodriguez | Physician Assistant | 1109 Granby Rd, Chicopee, MA 01020-1568 | 2016-04-01 |
| 1841609427 | Stacey Ann Temple | Advanced Practice Midwife | 1109 Granby Rd, Chicopee, MA 01020-1568 | 2014-08-07 |
| 1851708184 | Victoria Murray | Physician Assistant | 1109 Granby Rd, Chicopee, MA 01020-1568 | 2014-07-18 |
| 1548588056 | Lindsey G Mabry | Obstetrics & Gynecology | 1109 Granby Rd, Chicopee, MA 01020-1568 | 2010-05-07 |
| 1427280791 | Mwa, PC | Clinic/Center | 1109 Granby Rd, Chicopee, MA 01020-1568 | 2009-08-20 |
| 1073520672 | Leaonard Melnick | Social Worker | 1109 Granby Rd, Chicopee, MA 01020-1568 | 2006-08-03 |
| 1902813538 | Rachael M. Rividelli | Social Worker | 1109 Granby Rd, Chicopee, MA 01020-1568 | 2006-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114495546 | Donna Hall Adams | Social Worker | 617 Montgomery St, Chicopee, MA 01020 | 2018-11-03 |
| 1205315793 | Western Mass Physician Associates Inc | Internal Medicine | 1962 Memorial Drive, Chicopee, MA 01020 | 2018-08-07 |
| 1093234700 | Dawn Marie Giordano I | Behavior Technician | 223 Sheridan Street, Chicopee, MA 01020 | 2017-09-13 |
| 1104356450 | Philip Clifton Shiere Jr. | Dentist | 30 St. James Venue, Chicopee, MA 01020 | 2017-06-19 |
| 1376081257 | Jacob Morrill | Pharmacist | 1-5 St. James Ave, Chicopee, MA 01020 | 2017-02-10 |
| 1255768677 | Thomas D. Mccormack | Hearing Instrument Specialist | 1269 Memorial Dr., Chicopee, MA 01020 | 2013-09-30 |
| 1588930994 | John James Glogowski | Nurse Practitioner | 262 New Ludlow Road, Chicopee Medical Center, Chicopee, MA 01020 | 2012-03-29 |
| 1376833384 | Chicopee Dental Center (cdc) | Clinic/Center | 601 Memorial Drive, Chicopee, MA 01020 | 2011-04-11 |
| 1326273558 | Mitesh G Brahmbhatt Dmd PC | Clinic/Center | 747 Memorial Dr., Chicopee, MA 01020 | 2009-05-18 |
| 1386818458 | Fairview Dental Associates LLC | Dentist | 1682 Memorial Drive, Chicopee, MA 01020 | 2008-04-18 |
| Find all providers in zip 01020 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871528034 | Peter Darrow Bishop | Psychologist | 1109 Granby Rd, Chicopee, MA 01020-1568 | 2006-07-12 |
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| 1992314330 | Deborah Cohen | Psychologist | 25 State St Fl 26, Boston, MA 02109-2700 | 2020-07-30 |
| 1710596697 | Boston Center for Health Psychology and Biofeedback, LLC | Psychologist | 10 Post Office Sq., Ste 800 South, Boston, MA 02109 | 2020-07-27 |
| 1487271664 | Thoughtful Psychiatry, P.C. | Psychologist | 20 W Emerson St Lowr Level, Melrose, MA 02176-3137 | 2020-07-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.