TRACIE CAROL MASTORAKIS (NPI# 1811300346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811300346 |
| Entity Type | Individual |
| Full Name | TRACIE CAROL MASTORAKIS |
| Other Name | MRS. TRACIE CAROL MASTORAKIS |
| Practice Address |
30 Old Lyman Rd South Hadley MA 01075-2630 |
| Mailing Address |
508 Amherst Rd South Hadley MA 01075-1213 |
| Practice Telephone | 4132318315 |
| Mailing Telephone | 4135324601 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Street Address |
30 OLD LYMAN RD |
| City | SOUTH HADLEY |
| State | MA |
| Zip Code | 01075-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245308063 | Lauren Chase | Speech-Language Pathologist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2006-12-01 |
| 1851934830 | Erika Lamagdeleine | Occupational Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-10-23 |
| 1891338174 | Samon Davis | Occupational Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-10-19 |
| 1154982692 | Rachel Guerin | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-06-25 |
| 1487218178 | Brenda Bernazar | Psychologist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-04-28 |
| 1407318793 | Chantal Jocelyne Boucher | Occupational Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-04-04 |
| 1922567429 | Elizabeth Reardon | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-03-14 |
| 1851859409 | Jamie P Fisher-hertz | Developmental Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-03-02 |
| 1215491923 | Cassandra Elisabeth Goncalves | Speech-Language Pathologist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2019-01-27 |
| 1285120840 | Elizabeth Gale | Occupational Therapist | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2018-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093279267 | Sean Gremillion | Physical Therapist | 2122 573 Granby Rd, South Hadley, MA 01075 | 2019-01-22 |
| 1992226914 | Shalimar Rucci | Community Health Worker | 258 Old Lyman Road, South Hadley, MA 01075 | 2017-06-29 |
| 1104288505 | Northeast Behavioral Associates | Home Health | 285 Brainerd Street, South Hadley, MA 01075 | 2016-03-24 |
| 1326464744 | Integrity Women's Health, LLC | Psychologist | 27 College Street, Suite 201, South Hadley, MA 01075 | 2014-03-10 |
| 1801145222 | Health Imperatives, Inc. | Clinic/Center | 87 Canal Street, South Hadley, MA 01075 | 2012-08-30 |
| 1588832927 | Kindreth D Hamilton | Acupuncturist | 27 College St., Suite 201, South Hadley, MA 01075 | 2008-02-20 |
| 1184802217 | Sabrina Herman | Social Worker | 7 Hadley St., South Hadley, MA 01075 | 2008-01-31 |
| 1528251360 | Nenita G Shea | Psychiatry & Neurology | 30 Riverwood, South Hadley, MA 01075 | 2007-08-24 |
| 1760691687 | Monica J Drew | Physical Therapy Assistant | Wingate At South Hadley, 573 Granby Rd, South Hadley, MA 01075 | 2007-05-21 |
| 1053537142 | Simon Taylor | Social Worker | James Levine & Associates, P.C., 9 College Street, Suite 6, South Hadley, MA 01075 | 2007-04-17 |
| Find all providers in zip 01075 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750564449 | Criterion-heritage Early Intervention | Early Intervention Provider Agency | 5 Lyman Ter, South Hadley, MA 01075-2623 | 2007-12-17 |
| 1003070145 | Criterion Child Enrichment | Early Intervention Provider Agency | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2008-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699314237 | Jessica Desmarais | Early Intervention Provider Agency | 385 County St, New Bedford, MA 02740-4931 | 2019-12-30 |
| 1174175194 | Autism Care and Training Services, LLC | Early Intervention Provider Agency | 301 Primrose Hill Rd, Dracut, MA 01826-1235 | 2019-07-10 |
| 1043776743 | Mailing Gaw | Early Intervention Provider Agency | 44 Arrowhead Rd, Weston, MA 02493-1707 | 2019-02-18 |
| 1336619360 | Siara Arielle Correa | Early Intervention Provider Agency | 85 Meadow Brook Ln, Taunton, MA 02780-2079 | 2018-12-03 |
| 1275049249 | Heather Rose Johnson | Early Intervention Provider Agency | 166 Centre Ave, Middleboro, MA 02346-2053 | 2017-12-28 |
| 1518476852 | Jessica Marie Caramanica | Early Intervention Provider Agency | 17 Cranberry Way, Marion, MA 02738-1008 | 2017-09-28 |
| 1114446432 | Autism Therapuetic Services LLC | Early Intervention Provider Agency | 25 Bjorklund Ave, Worcester, MA 01605-1065 | 2017-09-19 |
| 1730637067 | Samantha Garlington | Early Intervention Provider Agency | 43b Park St, Haverhill, MA 01830-6008 | 2016-09-15 |
| 1386099299 | Vera Fernandes | Early Intervention Provider Agency | 191 Eugenia St, New Bedford, MA 02745-5232 | 2016-04-28 |
| 1699148320 | Emily Mann | Early Intervention Provider Agency | 3 Charity Ln, Dedham, MA 02026-2335 | 2015-11-03 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HADLEY |
| Zip Code | 01075 |
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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.