MS. LOLITA M. HANLEY


Address: 125 Liberty St, Springfield, MA 01103-1114
Phone: 3474580085

MS. LOLITA M. HANLEY (NPI# 1619270196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619270196
Entity Type Individual
Full Name MS. LOLITA M. HANLEY
Credential PSYD, LMHC, LADC-I
Practice Address 125 Liberty St
Springfield
MA 01103-1114
Mailing Address 5 Hickox St
Springfield
MA 01104-3746
Practice Telephone 3474580085
Mailing Telephone 3474580085
Enumeration Date 2010-12-06
Last Update Date 2019-07-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
13340 MA Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
10113 MA Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
10113 MA Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
10856 MA Behavioral Health & Social Service Providers
N 103TC1900X Psychologist
Specialization: Counseling
10856 MA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 1307576 (SA) 05
BLUE CROSS / BLUE SHIELD M18463 01
MA 1303295 (MH) 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3550 Main St Ste 101, Springfield, MA 011071078 8666102273
5 Northampton St, Worcester, MA 01605 5087527313

Office Location

Street Address 125 LIBERTY ST
City SPRINGFIELD
State MA
Zip Code 01103-1114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619977402 Peter T Demos Dermatology 125 Liberty St, Springfield, MA 01103-2961 2005-07-22
1881206241 Carl Amyas Taylor Counselor 125 Liberty St, Springfield, MA 01103-1114 2020-08-18
1346892437 L&l Life Enrichment Center LLC Psychologist 125 Liberty St, Springfield, MA 01103-1114 2019-07-10
1912440892 Metrocare of Springfield Nursing Care 125 Liberty St, Suite 404, Springfield, MA 01103-1114 2016-11-28
1730622614 Metrocare of Springfield Custodial Care Facility 125 Liberty St, Springfield, MA 01103-1114 2016-11-28
1215384409 Adult and Geriatric Medicine Partners, L.L.C. Family Medicine 125 Liberty St, Suite 403, Springfield, MA 01103-1114 2016-05-18
1457717795 Metrocare of Springfield LLC In Home Supportive Care 125 Liberty St, Suite 404, Springfield, MA 01103-1109 2015-12-31
1457729741 Right Choice Health Group LLC Clinic/Center 125 Liberty St, Suite 205, Springfield, MA 01103-1114 2015-09-03
1730557018 Mindcare Agency PC Community/Behavioral Health 125 Liberty St, Suite 205, Springfield, MA 01103-1114 2015-09-03
1427431402 Nicole Dacampo Registered Nurse 125 Liberty St, Suite 205, Springfield, MA 01103-1114 2015-07-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336790609 Mahmoud Al Homsi Dentist 41 Taylor St. 4th Fl, Springfield, MA 01103 2019-09-26
1427521749 Pedro Cruz Student in an Organized Health Care Education/Training Program 95 Frank B Murray, Springfield, MA 01103 2019-01-09
1003325010 Amber Lynn Chisholm Counselor 130 Maple St., Springfield, MA 01103 2017-09-21
1750737391 Mande' Counseling Community/Behavioral Health 1365 Main St Suite 401, Springfield, MA 01103 2016-05-13
1528467248 Amanda M Galloway Physician Assistant 1038-1050 Main St, Springfield, MA 01103 2014-08-19
1114326113 Anne Marie Belinda Nurse Practitioner 1049 Main St., Springfield, MA 01103 2014-08-15
1538575295 Sunrise Behavioral Health Clinic, LLC Clinic/Center 95 Frank B. Murray Street, Springfield, MA 01103 2014-07-02
1548675093 Jessica Lynn Pasalacqua Dietitian, Registered 870 Main St., Springfield, MA 01103 2014-06-24
1003220443 Ivan Rosario Counselor 1695 Main St Ste400, Springfield, MA 01103 2014-06-13
1275964769 Leeandrew Rick Wilson Counselor 1695 Main St., Springfield, MA 01103 2013-12-09
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710509187 Laura M Maggio Psychologist 11 Stephanie Cir, Springfield, MA 01129-1961 2020-05-08
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
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Competitor

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City SPRINGFIELD
Zip Code 01103

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Dataset Information

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.

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