DR. PEDRO A. MANZANO (NPI# 1144453911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144453911 |
| Entity Type | Individual |
| Full Name | DR. PEDRO A. MANZANO |
| Credential | PH.D |
| Practice Address |
110 Maple St Springfield MA 01105-1864 |
| Mailing Address |
Calle 2 D-24 Urb. Terranova Guaynabo PR 00969 |
| Practice Telephone | 4138464300 |
| Practice Fax Number | 4137320429 |
| Mailing Telephone | 7876351336 |
| Mailing Fax Number | 7877636708 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2013-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
3004 | PR | Behavioral Health & Social Service Providers |
| Street Address |
110 MAPLE ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01105-1864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526738 | Andre Laurence Dubois-white | Counselor | 110 Maple St, Springfield, MA 01105-1864 | 2020-10-23 |
| 1598363848 | Christina Midori Burton | Counselor | 110 Maple St, Springfield, MA 01105-1864 | 2020-10-09 |
| 1366059735 | Anne Marie O'reilly | Counselor | 110 Maple St, Springfield, MA 01105-1864 | 2020-09-29 |
| 1699382390 | Yomara Belardo-barbosa | Counselor | 110 Maple St, Springfield, MA 01105-1864 | 2020-09-26 |
| 1598376857 | Caitlyn Mccready Levine | Social Worker | 110 Maple St, Springfield, MA 01105-1864 | 2020-08-11 |
| 1801414420 | Wesley Pope | Counselor | 110 Maple St, Springfield, MA 01105-1864 | 2020-07-09 |
| 1316565948 | Jennifer Erin Ackerman | Counselor | 110 Maple St, Springfield, MA 01105-1864 | 2020-07-09 |
| 1396365540 | Patricia Rosado | Counselor | 110 Maple St, Springfield, MA 01105-1864 | 2020-04-17 |
| 1770110363 | Nataly Alicea-pastrana | Counselor | 110 Maple St, Springfield, MA 01105-1864 | 2020-03-24 |
| 1487281234 | Catherine Mary Wauczinski | Counselor | 110 Maple St, Springfield, MA 01105-1864 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881166551 | Rachael Ellen Buckley | Behavioral Analyst | 1 Federal Street, Stccac Technical Park, Building 101, 1 East-3, Springfield, MA 01105 | 2018-12-19 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1508351107 | Breanna Wardwell | Psychologist | 110 Maple St Ste 110, Springfield, MA 01105 | 2018-06-26 |
| 1538689831 | Ruthie May Therrien | Counselor | 140 High St #230, Springfield, MA 01105 | 2017-06-27 |
| 1124483771 | Jane Danette Smith | Counselor | 15 Mulberry Street, Phoenix House, Springfield, MA 01105 | 2015-12-28 |
| 1043682008 | Nancy Hernandez | Social Worker | 140 High Street Suite 230, South Bay Mental Health Springfield Clinic, Springfield, MA 01105 | 2015-10-29 |
| 1205204567 | Yarelis Aquino | Social Worker | 511 Eastt Columbus Ave, Springfield, MA 01105 | 2015-09-03 |
| 1417376419 | Wanda I Perez | Student in an Organized Health Care Education/Training Program | 367 Pine Street, Springfield, MA 01105 | 2014-04-08 |
| 1275968778 | Elizabeth Catherine Grey | Social Worker | 155 Maple St Ste 304, Springfield, MA 01105 | 2013-09-04 |
| 1891033148 | Carol Ouellette | Counselor | 511 East Columbus Avenue, Springfield, MA 01105 | 2013-01-22 |
| Find all providers in zip 01105 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205222346 | David L Schlink & Associates Psychological Services LLC | Psychologist | 2017 E Lark St, Springfield, MO 65804-6745 | 2015-04-14 |
| 1740258524 | John J. Maloney | Psychologist | 1358 E Kingsley St Ste B, Springfield, MO 65804-7222 | 2006-03-09 |
| 1134787989 | Stillwater Center for Wellness PC | Psychologist | 435 W Washington St, Springfield, IL 62702-5006 | 2019-06-05 |
| 1164910998 | Kathy Wu | Psychologist | 1489 Baltimore Pike Ste 250, Springfield, PA 19064-3974 | 2018-04-26 |
| 1770978355 | Barbara Cansler Nichols | Psychologist | 332 Birnie Ave, Springfield, MA 01107-1104 | 2015-04-01 |
| 1033519350 | Lauren A Golden | Psychologist | 230 N Belcrest Ave Ste A, Springfield, MO 65802-6287 | 2014-08-25 |
| 1396045860 | William James Cosgriff | Psychologist | 417 Liberty St, Springfield, MA 01104-3736 | 2010-10-29 |
| 1215182241 | Nancy Blanco Melendez | Psychologist | 28 Millburn Ave, Springfield, NJ 07081-1039 | 2008-11-18 |
| 1215180773 | Aracelis M Echevarria | Psychologist | 235 Chestnut St, Springfield, MA 01103-1100 | 2008-10-28 |
| 1992900344 | Susan Spangler Schultheis | Psychologist | 1489 Baltimore Pike, Suite 250, Springfield, PA 19064-3958 | 2007-06-17 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01105 |
Please comment or provide details below to improve the information on DR. PEDRO A. MANZANO.
| 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.