WILLIAMSTOWN BEHAVIORAL HEALTH ASSOCIATES (NPI# 1417023672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417023672 |
| Entity Type | Organization |
| Organization Name | WILLIAMSTOWN BEHAVIORAL HEALTH ASSOCIATES |
| Other Organization Name | SIRACUSA ASSOCIATES BEHAVIORAL HEALTH |
| Practice Address |
681 Simonds Rd Williamstown MA 01267-2105 |
| Mailing Address |
681 Simonds Rd Williamstown MA 01267 |
| Practice Telephone | 4134589600 |
| Practice Fax Number | 4134584028 |
| Mailing Telephone | 4134589600 |
| Mailing Fax Number | 4134584028 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | JEREMY RAY SULLIVAN (PSYCHOLOGIST/OWNER) |
| Authorized Official Telephone | 4134589600 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Siracusa Associates Behavioral Health | Doing Business As Name - Organization |
| Street Address |
681 SIMONDS RD |
| City | WILLIAMSTOWN |
| State | MA |
| Zip Code | 01267-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851382808 | Anthony J Siracusa | Psychologist | 681 Simonds Rd, Williamstown, MA 01267-2105 | 2005-10-31 |
| 1376052761 | Brenda Stoll Smith | Social Worker | 681 Simonds Rd, Williamstown, MA 01267-2105 | 2017-09-28 |
| 1629529011 | Siracusa Associates Behavioral Health LLC | Community/Behavioral Health | 681 Simonds Rd, Williamstown, MA 01267-2105 | 2016-10-20 |
| 1639302565 | Abigail W Reifsnyder | Social Worker | 681 Simonds Rd, Williamstown, MA 01267-2105 | 2009-08-26 |
| 1376712034 | Mary Anne Belouin | Social Worker | 681 Simonds Rd, Williamstown, MA 01267-2105 | 2008-02-27 |
| 1306899158 | Doreen Mary Forney | Psychologist | 681 Simonds Rd, Siracusa Associates, Williamstown, MA 01267 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306331335 | Laurie Heatherington | Psychologist | 25 Stetson Court, Williamstown, Williamstown, MA 01267 | 2018-06-22 |
| 1457861734 | Rebecca A Figueroa | Occupational Therapist | 189 Stratton Road, Apt. A5, Williamstown, MA 01267 | 2017-10-02 |
| 1417346974 | Jacob T Shelsy | Physician Assistant | 197 Adams Road, Williamstown, MA 01267 | 2015-01-21 |
| 1487063095 | Sb Operating Company LLC | Skilled Nursing Facility | 1516 Cold Spring Road, Williamstown, MA 01267 | 2014-08-07 |
| 1164862132 | Brookside Operator LLC | Skilled Nursing Facility | 1561 Cold Springs Rd, Williamstown, MA 01267 | 2013-07-05 |
| 1043508997 | Jacqueline Bianco | Physical Therapist | 212 B Main Street, Williamstown, MA 01267 | 2011-07-13 |
| 1053520379 | Deborah J Flynn | Nurse Practitioner | 105 The Knolls, Thompson Health Center, Williamstown, MA 01267 | 2007-05-22 |
| 1841369873 | Ellen Doyle | Psychologist | 90 Adams Road, Williamstown, MA 01267 | 2006-11-06 |
| 1962503300 | Joshua S Kleederman | Dentist | 172 Adams Road, Williamstown, MA 01267 | 2006-09-26 |
| 1629087671 | Ira S Lapidus Dmd PC | Dentist | 182 Adams Road, Willamstown, MA 01267 | 2006-08-07 |
| Find all providers in zip 01267 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486127 | Anne Castley Burdzy | Psychologist | 375 N Main St Ste B6, Williamstown, NJ 08094-1475 | 2020-04-23 |
| 1851382808 | Anthony J Siracusa | Psychologist | 681 Simonds Rd, Williamstown, MA 01267-2105 | 2005-10-31 |
| 1821500463 | Christopher Tapper | Psychologist | 1406 N Main St Ste 3, Williamstown, KY 41097-8500 | 2017-11-03 |
| 1285000752 | Christen Logue | Psychologist | 308 Barnes Rd, Williamstown, KY 41097-9483 | 2015-08-19 |
| 1386727907 | Mindy Craft | Psychologist | 308 Barnes Pike, Williamstown, KY 41097 | 2006-10-24 |
| 1588616361 | Marsha L Casky | Psychologist | 308 Barnes Rd, Williamstown, KY 41097-9483 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162798 | Psychological Transformation | Psychologist | 348 Cambridge Rd # 115, Woburn, MA 01801-6037 | 2020-10-19 |
| 1841897345 | Sade Callwood | Psychologist | 185 Devonshire St Ste 800, Boston, MA 02110-1414 | 2020-10-07 |
| 1982210480 | Aaron Rezendes Psyd LLC | Psychologist | 38 Dow St, Framingham, MA 01702-7220 | 2020-09-20 |
| 1184239808 | Morgan Eleanor Smigielski | Psychologist | 65 Park Dr Apt 18, Boston, MA 02215-5238 | 2020-09-10 |
| 1821601568 | Dr. Chelsea Levy Licensed Psychologist LLC | Psychologist | 203 Spring St, Medford, MA 02155-2814 | 2020-08-24 |
| 1679183230 | Holly Muller | Psychologist | 225 Friend St, Boston, MA 02114-1800 | 2020-08-07 |
| 1285242123 | Ruth Brim Balser | Psychologist | 36 Audubon Dr, Chestnut Hill, MA 02467-2621 | 2020-07-16 |
| 1952929184 | Sarah Joanna Schoffstall | Psychologist | 32 Hastings St, Framingham, MA 01701-7954 | 2020-07-14 |
| 1225655871 | Sasha Fleary | Psychologist | 28 Walter St, Hyde Park, MA 02136-2973 | 2020-06-30 |
| 1760008635 | Katherine Renda Florek | Psychologist | 2 Collins Rd, Hingham, MA 02043-2017 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSTOWN |
| Zip Code | 01267 |
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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.