WANDA LIZ PLANADEBALL (NPI# 1578114708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578114708 |
| Entity Type | Individual |
| Full Name | WANDA LIZ PLANADEBALL |
| Practice Address |
995 Worthington St Springfield MA 01109-4027 |
| Mailing Address |
20 Wilbraham Ave Springfield MA 01109-3337 |
| Practice Telephone | 4137475384 |
| Practice Fax Number | 4133827170 |
| Mailing Telephone | 4137475384 |
| Mailing Fax Number | 4133827170 |
| Enumeration Date | 2019-09-29 |
| Last Update Date | 2019-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
995 WORTHINGTON ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01109-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255675153 | Kristine Mary Stack | Registered Nurse | 995 Worthington St, Springfield, MA 01109-4027 | 2012-11-15 |
| 1922614239 | Kathleen M Bailes | Social Worker | 995 Worthington St, Springfield, MA 01109-4027 | 2020-09-22 |
| 1417587593 | Brandy Alexander Zuber | Counselor | 995 Worthington St, Springfield, MA 01109-4027 | 2020-01-17 |
| 1487205803 | Tadaja Mone Murphy | Counselor | 995 Worthington St, Springfield, MA 01109-4027 | 2019-09-26 |
| 1407407802 | Marcus Steven Garner | Counselor | 995 Worthington St, Springfield, MA 01109-4027 | 2019-09-26 |
| 1740831890 | Raeven Jemison | Counselor | 995 Worthington St, Springfield, MA 01109-4027 | 2019-09-20 |
| 1154985034 | Bonnie Odonnell | Counselor | 995 Worthington St, Springfield, MA 01109-4027 | 2019-04-26 |
| 1285104141 | Mental Health Association, Inc. | Community/Behavioral Health | 995 Worthington St, Springfield, MA 01109-4027 | 2018-12-04 |
| 1659854933 | Carol Maria Raus | Counselor | 995 Worthington St, Springfield, MA 01109-4027 | 2018-09-12 |
| 1417493180 | Olivia Taylor Bernstein | Case Manager/Care Coordinator | 995 Worthington St, Springfield, MA 01109-4027 | 2017-01-18 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803990 | Stephanie R Stephens | Counselor | 1705 Maiden Ln, Springfield, OH 45504-2908 | 2020-02-14 |
| 1801449988 | Maurice Steven Martinez | Counselor | 7215 Adrienne Glen Ave, Springfield, VA 22152-3540 | 2019-07-18 |
| 1215494737 | John Henry Mccollum Jr. | Counselor | 80 Congress St Ste 101, Springfield, MA 01104-3427 | 2019-02-21 |
| 1821584541 | Patricia Thakur | Counselor | 404 E Battlefield St # R, Springfield, MO 65807-4802 | 2018-07-05 |
| 1336632074 | Solutions Group Nw LLC | Counselor | 3831 Main St Ste 108, Springfield, OR 97478-5801 | 2018-06-07 |
| 1285126235 | Rebecca Ann Dalton | Counselor | 3032 S Fremont Ave Ste C200, Springfield, MO 65804-4210 | 2018-06-05 |
| 1184136905 | Mark Jones | Counselor | 120 N Fountain Ave, Springfield, OH 45502-1163 | 2017-11-02 |
| 1457863599 | Michael A Carter | Counselor | 832 Olive St, Springfield, OH 45503-3738 | 2017-10-30 |
| 1710498001 | Springfield Treatment Center | Counselor | 1485 Market St, Springfield, OR 97477-3337 | 2017-10-13 |
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01109 |
Please comment or provide details below to improve the information on WANDA LIZ PLANADEBALL.
| 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.