MS. YUDELKA KOTJAHASAN (NPI# 1639256886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639256886 |
Entity Type | Individual |
Full Name | MS. YUDELKA KOTJAHASAN |
Credential | PSY.D. |
Practice Address |
33 School St Springfield MA 01105-1301 |
Mailing Address |
223 Emerson St Springfield MA 01118-1735 |
Practice Telephone | 4138464300 |
Practice Fax Number | 4137320429 |
Mailing Telephone | 4138464300 |
Mailing Fax Number | 4137320429 |
Enumeration Date | 2006-11-01 |
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 |
NONE | MA | Behavioral Health & Social Service Providers |
Street Address |
33 SCHOOL ST |
City | SPRINGFIELD |
State | MA |
Zip Code | 01105-1301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558557645 | Evelyn Cruz-ruiz | Counselor | 33 School St, Springfield, MA 01105-3049 | 2007-09-21 |
1417095662 | Jay Conklin | Social Worker | 33 School St, Springfield, MA 01105-1301 | 2007-02-01 |
1699825604 | Edgardo Bianchi | Psychiatry & Neurology | 33 School St, Springfield, MA 01105-1301 | 2007-01-11 |
1942359351 | Monserrate Ruiz | Social Worker | 33 School St, Springfield, MA 01105-1301 | 2007-01-09 |
1538222674 | Kathleen Anne O'connor | Social Worker | 33 School St, Springfield, MA 01105-1301 | 2006-12-19 |
1831259746 | Nelson Robles | Social Worker | 33 School St, Springfield, MA 01105-1301 | 2006-12-11 |
1912066457 | Mary Elizabeth Colageo | Registered Nurse | 33 School St, Springfield, MA 01105-1301 | 2006-12-08 |
1962561092 | Monica Perez | Counselor | 33 School St, Springfield, MA 01105-1301 | 2006-12-06 |
1205904471 | Maria Jesus Arrojo | Marriage & Family Therapist | 33 School St, Springfield, MA 01105-1301 | 2006-12-04 |
1396813580 | Jennifer Marie Vega | Counselor | 33 School St, Springfield, MA 01105-1301 | 2006-12-04 |
Find all providers in the same location |
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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---|---|---|---|---|
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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 MS. YUDELKA KOTJAHASAN.
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.