ALEXANDER FIDALGO (NPI# 1154935518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154935518 |
| Entity Type | Individual |
| Full Name | ALEXANDER FIDALGO |
| Credential | CARC #0127 |
| Practice Address |
155 Maple St Ste 304 Springfield MA 01105-1828 |
| Mailing Address |
5 Plantation St Apt 1 Worcester MA 01604-4964 |
| Practice Telephone | 8134099590 |
| Mailing Telephone | 8134099590 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 0127 | MA | Other Service Providers |
| Street Address |
155 MAPLE ST STE 304 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01105-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275968778 | Elizabeth Catherine Grey | Social Worker | 155 Maple St Ste 304, Springfield, MA 01105 | 2013-09-04 |
| 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 |
| 1891033148 | Carol Ouellette | Counselor | 511 East Columbus Avenue, Springfield, MA 01105 | 2013-01-22 |
| 1699023630 | Julie May Borowski | Counselor | 287 State St., Springfield, MA 01105 | 2012-08-23 |
| Find all providers in zip 01105 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
| 1922612159 | Renia Nicole Gavin | Peer Specialist | 537 E John St, Springfield, OH 45505-4156 | 2020-09-04 |
| 1417568197 | Skylar Lane Mcnutt | Peer Specialist | 4473 Phoenix Dr, Springfield, OH 45503-6325 | 2020-08-14 |
| 1235749326 | Lacasta Greene | Peer Specialist | 1375 Beverly Ave, Springfield, OH 45504-1943 | 2020-08-04 |
| 1023631686 | Teresa Ann Evans | Peer Specialist | 701 E Cassilly St, Springfield, OH 45503-3711 | 2020-05-18 |
| 1821624214 | Jessica Nicole Castello | Peer Specialist | 2 W Leffel Ln, Springfield, OH 45506-3520 | 2020-03-17 |
| 1992337083 | Linda Daily Leonhard | Peer Specialist | 551 Kingswood Dr N, Springfield, OH 45503-2305 | 2020-02-07 |
| 1073156477 | Keith Alan Robinson | Peer Specialist | 2680 E High St, Springfield, OH 45505-1400 | 2019-10-18 |
| 1356801187 | Ashley Monique Harris | Peer Specialist | 18 E Southern Ave, Springfield, OH 45506-2647 | 2019-03-20 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01105 |
Please comment or provide details below to improve the information on ALEXANDER FIDALGO.
| 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.