MATTHEW JOHNSON (NPI# 1568070381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568070381 |
| Entity Type | Individual |
| Full Name | MATTHEW JOHNSON |
| Practice Address |
246 Park St West Springfield MA 01089-3314 |
| Practice Telephone | 4137374718 |
| Mailing Telephone | 4137374718 |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336706514 | Matthew Thomas Johnson | Counselor | 4643 American Legion Rd Se, Iowa City, IA 52240-9057 | 2019-05-23 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1023523016 | Matthew Johnson | Specialist/Technologist | 51 Armstrong Rd, Enfield, CT 06082-2731 | 2017-12-12 |
| 1881105914 | Matthew Alan Johnson | Optometrist | 360 Merrimack St Bldg 91, Lawrence, MA 01843-1740 | 2017-10-16 |
| 1801324991 | Matthew Allen Johnson | Psychologist | 1812 Sumner Ave Ste 1, Aberdeen, WA 98520-4602 | 2017-06-01 |
| 1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
| 1386026003 | Matthew Johnson | Dentist | 72 Ashe St Apt A, Charleston, SC 29403-5964 | 2015-06-18 |
| 1992183057 | Matthew Johnson | Specialist/Technologist | 18220 San Lucas Ct, Brookfield, WI 53045-3870 | 2015-05-11 |
| 1487058582 | Matthew John Johnson | Specialist/Technologist | 27 Whittier Dr, Greenlawn, NY 11740-2609 | 2014-10-17 |
| 1265845945 | Matthew Johnson | Behavioral Analyst | 504 S Hays Ave Apt 5, Carbondale, IL 62901-2631 | 2014-06-10 |
| Street Address |
246 PARK ST |
| City | WEST SPRINGFIELD |
| State | MA |
| Zip Code | 01089-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841464328 | Jillian Rochelle Hemmelgarn | Counselor | 246 Park St, West Springfield, MA 01089-3314 | 2008-04-16 |
| 1215545033 | Maxene A Anderson | Case Manager/Care Coordinator | 246 Park St, West Springfield, MA 01089-3314 | 2020-07-17 |
| 1447897400 | Robert Earl Murchison Jr. | Counselor | 246 Park St, West Springfield, MA 01089-3314 | 2019-12-09 |
| 1962045468 | Marissa Leanne Radzick | Counselor | 246 Park St, West Springfield, MA 01089-3314 | 2019-10-28 |
| 1568024495 | Olivia Violette | Counselor | 246 Park St, West Springfield, MA 01089-3314 | 2019-07-01 |
| 1932761855 | Sherice Shettlewood | Counselor | 246 Park St, West Springfield, MA 01089-3314 | 2019-07-01 |
| 1598322562 | Jennifer Baymon | Psychologist | 246 Park St, West Springfield, MA 01089-3314 | 2019-05-24 |
| 1558927889 | Samantha Ann Burns | Counselor | 246 Park St, West Springfield, MA 01089-3314 | 2019-05-13 |
| 1104386135 | Luis A Rivera | Counselor | 246 Park St, West Springfield, MA 01089-3314 | 2019-03-25 |
| 1780144782 | Kayla Elizabeth Lingel | Counselor | 246 Park St, West Springfield, MA 01089-3314 | 2019-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040990 | Konrad Syrek | Behavioral Analyst | 1472 Riverdale St. Suite A, West Springfield, MA 01089 | 2020-10-15 |
| 1861099335 | Vanna Leang | Behavioral Analyst | 1472 Riverdale St, Suite A, West Springfield, MA 01089 | 2020-10-07 |
| 1215534755 | Malakie Berry | Behavioral Analyst | 1472 Riverdale St., Suite A, West Springfield, MA 01089 | 2020-10-07 |
| 1952800930 | Nicole Coughlin | Social Worker | 103 Myron St. Suite A, West Springfield, MA 01089 | 2018-02-06 |
| 1679017156 | Tender Care Helping Hands LLC | Home Health | 1434 Memorial Ave, Westspringfield, MA 01089 | 2016-12-19 |
| 1154736130 | Mikin Patel | Dentist | 235b Memorial Ave, West Springfield, MA 01089 | 2014-06-27 |
| 1881029312 | Melinda A Koblosh | Physical Therapist | 1111 Elm St., Suite 9, West Springfield, MA 01089 | 2013-09-03 |
| 1316379852 | Jessica C Marquez | Social Worker | 204 Wayside Ave, West Springfield, MA 01089 | 2013-08-07 |
| 1114360112 | Center for Human Development | In Home Supportive Care | 247 Park St, West Springfield, MA 01089 | 2013-04-10 |
| 1336421395 | John L. O'neill | Social Worker | 103 Myron Street Suite A, West Springfield, MA 01089 | 2011-09-15 |
| Find all providers in zip 01089 | ||||
| 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 |
|---|---|---|---|---|
| 1861010043 | Christopher Solomon | Peer Specialist | 8201 Inwood Dr, Woburn, MA 01801-5161 | 2020-07-14 |
| 1346878725 | Dynamicare Health | Peer Specialist | 288 Norfolk St Ste 4, Cambridge, MA 02139-1430 | 2020-03-31 |
| 1114553989 | Theresa Buccico | Peer Specialist | 284 Union Ave, Framingham, MA 01702-6318 | 2020-03-12 |
| 1235762741 | Peter Douglas Mantell IIi | Peer Specialist | 130 Millers Falls Rd, Turners Falls, MA 01376-2250 | 2020-02-13 |
| 1083259154 | Darlene Cruz | Peer Specialist | 5121 Crane Brook Way, Peabody, MA 01960-8526 | 2019-11-13 |
| 1700437571 | Edith Silva | Peer Specialist | 131 W Main St Ste 101, Orange, MA 01364-1157 | 2019-09-24 |
| 1225505720 | Stephanie Wamback | Peer Specialist | 20 Green St # 2, Dudley, MA 01571-3210 | 2018-11-01 |
| 1366918724 | Coretta Mcgill | Peer Specialist | 12 Montague St, Worcester, MA 01603-3125 | 2018-10-23 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1891219747 | Daniel Robert Proulx | Peer Specialist | 2 Endicott Ave, Marblehead, MA 01945-1617 | 2017-08-02 |
| Find all providers with the same taxonomy | ||||
| City | WEST SPRINGFIELD |
| Zip Code | 01089 |
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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.