THE KEY PROGRAM, INCORPORATED. (NPI# 1306446059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306446059 |
| Entity Type | Organization |
| Organization Name | THE KEY PROGRAM, INCORPORATED. |
| Practice Address |
576 State St Springfield MA 01109-4104 |
| Mailing Address |
670 Old Connecticut Path Framingham MA 01701-4548 |
| Practice Telephone | 4137816485 |
| Practice Fax Number | 4137886925 |
| Mailing Telephone | 5088773690 |
| Mailing Fax Number | 5083669524 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | MR. WILLIAM GEORGE LYTTLE (PRESIDENT) |
| Authorized Official Telephone | 5088773690 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | M17759 | 01 |
| MA | 1306839 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Gaythorne Rd Ste 1u, Methuen, MA 018442035 | 9786850194 | 9785575905 |
| 5 State St, Worcester, MA 016092893 | 5087521560 | 5087521591 |
| 54 Front St, Fall River, MA 027214399 | 5086750686 | 5086721576 |
| 66 Industry Avenue, Springfield, MA 01104 | 4137333113 | 4137360217 |
| 670 Old Connecticut Path, Framingham, MA 017014548 | 5088773690 | 5083669524 |
| 703 West Housatonic Street, Pittsfield, MA 01201 | 4134437218 | 4134476973 |
| 77 Rumford Ave, Waltham, MA 024533872 | 7818944307 | 7818941195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508908229 | The Key Program, Incorporated. | Clinic/Center | 576 State St, Springfield, MA 01109-4104 | 2007-02-12 |
| Street Address |
576 STATE ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01109-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255423414 | Marybeth Malacarne | Counselor | 576 State St, Springfield, MA 01109-4104 | 2006-09-28 |
| 1235738519 | Felicishia Marie Holmes | Counselor | 576 State St, Springfield, MA 01109-4104 | 2020-10-19 |
| 1457965576 | Carly Rousseau | Counselor | 576 State St, Springfield, MA 01109-4104 | 2020-09-04 |
| 1114482072 | Breana Nicole Swain | Counselor | 576 State St, Springfield, MA 01109-4104 | 2019-02-05 |
| 1811460371 | Alan-michael Chest | Counselor | 576 State St, Springfield, MA 01109-4104 | 2019-01-08 |
| 1518464908 | Katherine Wadsworth | Counselor | 576 State St, Springfield, MA 01109-4104 | 2018-04-11 |
| 1184137903 | Nicole Zimmerman | Counselor | 576 State St, Springfield, MA 01109-4104 | 2017-11-15 |
| 1902332679 | Emma Harness | Counselor | 576 State St, Springfield, MA 01109-4104 | 2017-05-02 |
| 1841741550 | Jennifer Califano | Counselor | 576 State St, Springfield, MA 01109-4104 | 2016-10-18 |
| 1073903035 | Courtney Cirillo | Counselor | 576 State St, Springfield, MA 01109-4104 | 2015-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720479892 | Ethan Chase | Dentist | 555 State Street, Dental Dreams, Springfield, MA 01109 | 2015-02-11 |
| 1043591423 | Victoria A Jones | Counselor | 1104 Street Street, Suite 2d, Springfield, MA 01109 | 2011-08-30 |
| 1093043879 | Lee Ann Callagher | Occupational Therapist | 807 Wilbraham Rd., Springfield, MA 01109 | 2009-12-07 |
| 1740424993 | Pamela Joan Aselton | Nurse Practitioner | 263 Alden Street, Springfield College Health Service, Springfield, MA 01109 | 2009-04-30 |
| 1225642507 | Emma V Slater | Student in an Organized Health Care Education/Training Program | 263 Alden St, Springfield, MA 01109 | 2020-09-03 |
| 1184253239 | Hye Young Shin | Dentist | 555 State St, Springfield, MA 01109 | 2020-04-01 |
| 1225662992 | Mary Catherine Becker | Student in an Organized Health Care Education/Training Program | 263 Alden Street, Springfield, MA 01109 | 2020-03-02 |
| 1235630856 | Kathryn O'brien | Student in an Organized Health Care Education/Training Program | 11 Wilbraham Rd, Springfield, MA 01109 | 2018-02-28 |
| 1174074736 | Candace Griffith | Counselor | 140 High St., Suite 230, Springfield, MA 01109 | 2016-10-19 |
| 1356730279 | Pedro Ferrer | Counselor | 332 Birnie Ave, Springfield, MA 01109 | 2015-01-15 |
| Find all providers in zip 01109 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1235693623 | Eyes On Therapy | Clinic/Center | 1207 N Plum St Ste A, Springfield, OH 45504-1865 | 2019-01-30 |
| 1912474586 | Hope Source Counseling | Clinic/Center | 1736 E Sunshine St Ste 813, Springfield, MO 65804-1334 | 2018-10-31 |
| 1760964910 | Wellness for The Culture LLC | Clinic/Center | 44 Superior Ave, Springfield, MA 01151-1836 | 2018-09-04 |
| 1003315177 | Counter Balance | Clinic/Center | 56 Main St Ste 212, Springfield, VT 05156-2945 | 2018-02-05 |
| 1558805754 | Bhg Xliii, LLC | Clinic/Center | 2551 W Kearney St, Springfield, MO 65803 | 2016-12-07 |
| 1538575295 | Sunrise Behavioral Health Clinic, LLC | Clinic/Center | 95 Frank B. Murray Street, Springfield, MA 01103 | 2014-07-02 |
| 1326296856 | Gateway Foundation, Inc. | Clinic/Center | 2200 Lake Victoria Dr, Springfield, IL 62703-5596 | 2008-09-09 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01109 |
Please comment or provide details below to improve the information on THE KEY PROGRAM, INCORPORATED..
| 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.