DR. ELIZABETH WEXFORD (NPI# 1518032382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518032382 |
Entity Type | Individual |
Full Name | DR. ELIZABETH WEXFORD |
Credential | PSYD |
Practice Address |
155 Maple Street Suite 203 Springfield MA 01105-1828 |
Practice Telephone | 4137343331 |
Practice Fax Number | 4137391652 |
Mailing Telephone | 4137343331 |
Mailing Fax Number | 4137391652 |
Enumeration Date | 2006-11-21 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
3736 | MA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TUFTS | 771927 | 01 | |
MA | BCBS OF MA | W04169 | 01 |
Street Address |
155 MAPLE STREET SUITE 203 |
City | SPRINGFIELD |
State | MA |
Zip Code | 01105-1828 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083772537 | Mitchell I Clionsky | Clinical Neuropsychologist | 155 Maple Street, Suite 203, Springfield, MA 01105-1828 | 2006-12-05 |
1619042496 | The Add Center of Western Massachusetts | Clinical Neuropsychologist | 155 Maple Street, Suite 203, Springfield, MA 01105-1828 | 2006-11-21 |
1861567638 | Lynn I Newlove | Psychologist | 155 Maple Street, Suite 203, Springfield, MA 01105-1828 | 2006-11-21 |
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 | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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1215556386 | Lotus Healing Center LLC | Psychologist | 28 Millburn Ave Ste 6, Springfield, NJ 07081-1023 | 2020-04-09 |
1194359216 | Kathrin A Koehler | Psychologist | 4674 Hominy Ridge Rd, Springfield, OH 45502-8031 | 2020-02-27 |
1689126120 | Assessment Consultants, LLC | Psychologist | 2146 W Chesterfield Blvd Ste E202, Springfield, MO 65807-8650 | 2016-11-01 |
1003366436 | Caitriona Hayes | Psychologist | 8134 Old Keene Mill Road, Suite 101, Springfield, VA 22152 | 2016-10-10 |
1669929907 | Richart Lipe Demier | Psychologist | 5871 S Northern Ridge Rd, Springfield, MO 65810-1976 | 2016-09-03 |
1043660905 | Safe Harbor Christian Counseling of Northern Virginia LLC | Psychologist | 8304 Old Keene Mill Rd, Springfield, VA 22152-1640 | 2016-06-21 |
1659786432 | Kimberly Wilkins Psyd LLC | Psychologist | 1344 W Oakville Rd, Springfield, MO 65810-1696 | 2014-06-30 |
1548507817 | Bahn and Associates | Psychologist | 3000 Professional Dr Ste D, Bahn Consulting, Inc., Springfield, IL 62703-5931 | 2013-01-07 |
1396004990 | Cultivate Psychological Services LLC | Psychologist | 1439 S Rogers Ave, Springfield, MO 65804-1129 | 2012-05-16 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01105 |
Please comment or provide details below to improve the information on DR. ELIZABETH WEXFORD.
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.