MINDCARE AGENCY PC


Address: 125 Liberty St, Suite 205, Springfield, MA 01103-1114
Phone: 4132717136

MINDCARE AGENCY PC (NPI# 1730557018) 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) 1730557018
Entity Type Organization
Organization Name MINDCARE AGENCY PC
Practice Address 125 Liberty St
Suite 205
Springfield
MA 01103-1114
Practice Telephone 4132717136
Practice Fax Number 4132717137
Mailing Telephone 4132717136
Mailing Fax Number 4132717137
Enumeration Date 2015-09-03
Last Update Date 2019-11-18
Authorized Official Name OMAR FARUK (CEO)
Authorized Official Telephone 4132717136
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
N 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities
Y 2084A0401X Psychiatry & Neurology
Specialization: Addiction Medicine
223674 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA STATE LICENSE NUMBER 223674 01

Office Location

Street Address 125 LIBERTY ST
SUITE 205
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
1427431402 Nicole Dacampo Registered Nurse 125 Liberty St, Suite 205, Springfield, MA 01103-1114 2015-07-08
1427435262 Nancie Moran Nurse Practitioner 125 Liberty St, Suite 403, Springfield, MA 01103-1114 2015-04-30
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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 2084A0401X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Medicine

Taxonomy Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851497028 Susan Cary Psychiatry & Neurology 80 Congress St, Springfield, MA 01104-3564 2006-09-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467095810 Siere Jennifer Alkee Psychiatry & Neurology 68 N.front St, New Bedford, MA 02740 2019-10-17
1881015337 Norton Health Care PC Psychiatry & Neurology 85 E Main St Ste A, Norton, MA 02766-2307 2014-01-01
1104185586 Adam Bied Psychiatry & Neurology 339 Massachusetts Ave, Arlington, MA 02474-6718 2012-05-07
1598809287 Nestore J D'angelo Psychiatry & Neurology 18 Woodholm Rd, Manchester, MA 01944-1042 2007-02-16
1245392513 Roger N Chabra Psychiatry & Neurology 284 Starboard Ln, Osterville, MA 02655-1451 2006-12-14
1487754974 Amjad Bahnassi Psychiatry & Neurology 435 Shrewsbury St Ste 1, Worcester, MA 01604-1691 2006-09-24
1205934924 Boston Psychiatry Group, Inc. Psychiatry & Neurology 20 Hope Ave Ste G05, Waltham, MA 02453-2781 2006-09-20
1265446157 Elliott Gerald Segal Psychiatry & Neurology 126b Sewall Ave, Brookline, MA 02446-5327 2006-07-28
1043239270 Alan Fisch Psychiatry & Neurology 872 Massachusetts Ave., Ste. 2-2, 2-7, Cambridge, MA 02139 2006-07-19
1093789083 Michael Joshua Ostacher Psychiatry & Neurology 50 Staniford St Ste 580, Massachusetts General Hospital, Boston, MA 02114-2540 2006-02-15
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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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