ODESSA BATES (NPI# 1871845339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871845339 |
Entity Type | Individual |
Full Name | ODESSA BATES |
Practice Address |
42 Summer St Suite 201 Pittsfield MA 01201-4624 |
Mailing Address |
450 Main St Suite 450 Worcester MA 01608-1812 |
Practice Telephone | 4134420402 |
Practice Fax Number | 5087535051 |
Mailing Telephone | 5087522590 |
Mailing Fax Number | 5087535051 |
Enumeration Date | 2012-10-09 |
Last Update Date | 2012-10-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 1308785 | 05 | |
MA | BLUE CROSS BLUE SHEILD | M18684 | 01 |
MA | 110027991 | 05 | |
MA | BLUE CROSS OF MASS | 22220002001 | 01 |
MA | 1306461 | 05 |
Street Address |
42 SUMMER ST SUITE 201 |
City | PITTSFIELD |
State | MA |
Zip Code | 01201-4624 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043219470 | Stephen Lewis Kisiel | Neuromusculoskeletal Medicine & OMM | 42 Summer St, Suite 301, Pittsfield, MA 01201-4624 | 2005-07-18 |
1962958371 | Whitney Baeckmann | Counselor | 42 Summer St, Pittsfield, MA 01201-4624 | 2016-08-27 |
1194184812 | Danielle Debye | Dietitian, Registered | 42 Summer St, Suite 302, Pittsfield, MA 01201-4624 | 2016-02-23 |
1487042990 | Karen Fisher | Counselor | 42 Summer St, Pittsfield, MA 01201-4624 | 2015-01-06 |
1811309891 | Adam Thomas Hetland | Family Medicine | 42 Summer St, Pittsfield, MA 01201-4624 | 2014-05-27 |
1326391335 | Lisa Michelle Pyenson | Counselor | 42 Summer St, Pittsfield, MA 01201-4624 | 2012-10-16 |
1043565724 | Bethany Lyn Bartlett | Nurse Practitioner | 42 Summer St, Fl 2, Pittsfield, MA 01201-4624 | 2012-07-18 |
1861716714 | Berkshire Integrative Healthcare LLC | Psychologist | 42 Summer St, Suite 301, Pittsfield, MA 01201-4526 | 2010-03-22 |
1437391760 | The Nutrition Center, Inc. | Nutritionist | 42 Summer St, Suite 302, Pittsfield, MA 01201-4624 | 2009-04-01 |
1417195496 | Joshua Krembs | Neuromusculoskeletal Medicine & OMM | 42 Summer St, Suite 301, Pittsfield, MA 01201-4624 | 2009-01-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
Find all providers in zip 01201 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417578600 | Laura Lynn Szczepaniak | Counselor | 2 South St Fl 3, Pittsfield, MA 01201-6196 | 2020-04-29 |
1255974663 | Alc Corp | Counselor | 57 Maplewood Ave, Pittsfield, MA 01201-4753 | 2019-10-18 |
1740789767 | Dennis R Bates | Counselor | 1115 North St, Pittsfield, MA 01201-1521 | 2018-02-05 |
1679772016 | Deborah Shaver-bates | Counselor | 202 Bradford St, Keenan House, Pittsfield, MA 01201-4565 | 2007-07-16 |
1841494085 | Kelly Marie Baker | Counselor | 121 S Madison, Pittsfield, IL 62363 | 2007-06-12 |
1720606387 | Autumn Marie Wood | Counselor | 777 North St, Pittsfield, MA 01201-4147 | 2020-07-10 |
1962958371 | Whitney Baeckmann | Counselor | 42 Summer St, Pittsfield, MA 01201-4624 | 2016-08-27 |
1487042990 | Karen Fisher | Counselor | 42 Summer St, Pittsfield, MA 01201-4624 | 2015-01-06 |
1205170495 | Lawrence Lerner | Counselor | 359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261 | 2012-11-12 |
1326391335 | Lisa Michelle Pyenson | Counselor | 42 Summer St, Pittsfield, MA 01201-4624 | 2012-10-16 |
Find all providers in PITTSFIELD |
City | PITTSFIELD |
Zip Code | 01201 |
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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.