COMMONWEALTH CLINICAL ALLIANCE, INC (NPI# 1679605091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679605091 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH CLINICAL ALLIANCE, INC |
| Practice Address |
380 Plainfield St Springfield MA 01107-1524 |
| Mailing Address |
30 Winter St 7th Floor Boston MA 02108-4720 |
| Practice Telephone | 8882554525 |
| Practice Fax Number | 4137479122 |
| Mailing Telephone | 6174260600 |
| Mailing Fax Number | 6174261311 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LOIS SIMON (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6174260600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
380 PLAINFIELD ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922089846 | Sarah L Goff | Internal Medicine | 380 Plainfield St, Springfield, MA 01107-1524 | 2005-11-08 |
| 1053932392 | Ryann Nichole Mcchesney | Registered Nurse | 380 Plainfield St, Springfield, MA 01107-1524 | 2020-04-28 |
| 1215455175 | Anne Bayerle | Nurse Practitioner | 380 Plainfield St, Springfield, MA 01107-1524 | 2017-08-31 |
| 1730505868 | Amelia Agnes Stiles | Nurse Practitioner | 380 Plainfield St, Springfield, MA 01107-1524 | 2014-03-13 |
| 1487925376 | Christina Ann Lima | Nurse Practitioner | 380 Plainfield St, Springfield, MA 01107-1524 | 2012-01-24 |
| 1699061853 | Somaira Rafiq-yasin | Family Medicine | 380 Plainfield St, Springfield, MA 01107-1524 | 2011-06-24 |
| 1053601096 | Matthew R Chabot | Internal Medicine | 380 Plainfield St, Springfield, MA 01107-1524 | 2011-04-11 |
| 1285955476 | Maria Jose Ferrera | Internal Medicine | 380 Plainfield St, Springfield, MA 01199-1619 | 2010-06-22 |
| 1902938103 | Lynn A Minnick | Nurse Practitioner | 380 Plainfield St, Springfield, MA 01107-1524 | 2007-03-12 |
| 1326178062 | Commonwealth Clinical Alliance | Registered Nurse | 380 Plainfield St, Springfield, MA 01107-1524 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831745728 | Affinity Patient Coordination LLC | Case Manager/Care Coordinator | 217 E Monroe St Ste 204, Springfield, IL 62701-1746 | 2019-08-15 |
| 1578075107 | Christopher Worthen | Case Manager/Care Coordinator | 223 N Western Ave, Springfield, OH 45504-2719 | 2017-11-06 |
| 1497204622 | Inesha Simmons | Case Manager/Care Coordinator | 1331 Denison Dr, Apt C, Springfield, IL 62704-4454 | 2016-09-29 |
| 1235687138 | Yvonne Persley | Case Manager/Care Coordinator | 8 Allison Ct, Springfield, IL 62703-1130 | 2016-09-20 |
| 1902255516 | Dionna Marino | Case Manager/Care Coordinator | 731 Cheatham Street, Springfield, TN 37172 | 2016-06-06 |
| 1972918423 | Loree Lynn Howard | Case Manager/Care Coordinator | 4145 Jasper Road, Springfield, OR 97478 | 2014-06-24 |
| 1871907824 | Latisha Robinson | Case Manager/Care Coordinator | 3050 S National Ave Ste 104, Springfield, MO 65804-4242 | 2014-06-18 |
| 1548601792 | Richard S Buford | Case Manager/Care Coordinator | 1086 Mound St, Springfield, OH 45505-1191 | 2013-07-16 |
| 1164765228 | Colleen K Webb | Case Manager/Care Coordinator | 285 Third St. Extension, Springfield, GA 31329-1612 | 2013-03-27 |
| 1447503636 | Lifetime Support Incorporated | Case Manager/Care Coordinator | 52 Fadem Rd, Springfield, NJ 07081-3116 | 2012-10-25 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.