AWARENESS THERAPY CENTER, LLC (NPI# 1649798000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649798000 |
| Entity Type | Organization |
| Organization Name | AWARENESS THERAPY CENTER, LLC |
| Practice Address |
264 N Main St Ste 1a East Longmeadow MA 01028-1815 |
| Practice Telephone | 4132626920 |
| Mailing Telephone | 4134174911 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2019-01-12 |
| Authorized Official Name | RICARDO A MUJICA (OWNER) |
| Authorized Official Telephone | 4132626920 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
216641 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
264 N MAIN ST STE 1A |
| City | EAST LONGMEADOW |
| State | MA |
| Zip Code | 01028-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174142509 | Golden Years Behavioral Health Group Inc. | Counselor | 16 Shaker Road, East Longmeadow, MA 01028 | 2020-04-15 |
| 1821518747 | Taylor Kirk | Social Worker | 138 Hampden Road, East Longmeadow, MA 01028 | 2017-06-21 |
| 1770039174 | Rebecca Bailey | Physician Assistant | 305a Maple Street, East Longmeadow, MA 01028 | 2016-08-26 |
| 1609261650 | New England Dental Care | Dentist | 132 Canterbury Circle, East Longmeadow, MA 01028 | 2015-04-06 |
| 1629394168 | Angela C Lamothe | Massage Therapist | 80 Center Square, East Longmeadow, MA 01028 | 2010-04-08 |
| 1588807648 | Maria De La Alhambra Gurd | Counselor | 294 N Main St Ste 101, East Longmeadow, MA 01028 | 2009-04-19 |
| 1861522302 | Arthur T Mcguire | Internal Medicine | 160 Pleasant St #307, Gastroenterology Assoc of Springfield, East Longmeadow, MA 01028 | 2007-03-06 |
| 1194874545 | Drs Scannell and Hollinger Inc | Dentist | 79 Maple Street, East Longmeadow, MA 01028 | 2007-01-08 |
| 1053468629 | Gina M Quinlivan | Advanced Practice Midwife | 382 N Main St Ste 205, East Longmeadow, MA 01028 | 2007-01-04 |
| 1609939784 | Belisa Ann Basile | Optometrist | 8 Center Square, E Longmeadow, MA 01028 | 2006-12-19 |
| Find all providers in zip 01028 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477021491 | Aliyu Oster Ojei | Psychiatry & Neurology | 40 W Park St, Brockton, MA 02301-5241 | 2018-11-07 |
| 1609142017 | Boston Center for Memory, Inc | Psychiatry & Neurology | 180 Wells Ave., Suite 304, Newton, MA 02459 | 2012-03-29 |
| 1588958631 | Alessandro Biffi | Psychiatry & Neurology | 15 Parkman St # 8835, Boston, MA 02114-3117 | 2011-06-07 |
| 1952322364 | Eric Charles Dessain | Psychiatry & Neurology | 62 Conant Rd, Garage Entrance, Lincoln, MA 01773-3913 | 2006-07-21 |
| 1356906572 | Spectrum Neuro Behavioral Care LLC | Psychiatry & Neurology | 61 Lincoln St Ste 203, Framingham, MA 01702-8264 | 2019-05-02 |
| 1154984862 | Edward Douglas II | Psychiatry & Neurology | 850 Harrison Ave, Boston, MA 02118-4001 | 2019-04-18 |
| 1508358391 | Sharon Sedik | Psychiatry & Neurology | 140 High St Ste 230, Springfield, MA 01105-1435 | 2018-06-06 |
| 1215236476 | Brigid Dwyer | Psychiatry & Neurology | 725 Albany St, Shapiro 7, Suite B, Boston, MA 02118-2526 | 2011-03-26 |
| 1194988659 | Seth A. Gale | Psychiatry & Neurology | 221 Longwood Ave, Mezzanine 80, Boston, MA 02115-5804 | 2008-07-05 |
| City | EAST LONGMEADOW |
| Zip Code | 01028 |
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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.