DVA (NPI# 1972538783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972538783 |
| Entity Type | Organization |
| Organization Name | DVA |
| Other Organization Name | VAMC NORTHAMPTON |
| Practice Address |
421 N Main St Va Medical Center Leeds MA 01053-9764 |
| Mailing Address |
421 North Main Street Va Medical Center Leeds MA 01053-9764 |
| Practice Telephone | 4135823038 |
| Mailing Telephone | 4135823038 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DENISE CAVANAUGH (CREDENTILING COORDINATOR) |
| Authorized Official Telephone | 4135844040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 002701 | CT | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | LCSW | 002701 | 01 |
| Other Name | Type Code |
|---|---|
| VAMC Northampton | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | DVA ADVERTISING & PUBLIC RELATIONS | 109 Nw Greenwood Ave Ste 103, Bend, OR 97701 |
| Oregon Corporations, Companies and Business Names | DVA ALBANY, LLC | 224 Westlake Ave N, Ste 500, Seattle, WA 98109 |
| Washington State Corporations | DVA ALBANY, LLC | 224 Westlake Ave N Ste 500, Seattle, WA 98109-5261 |
| Virginia Business Entities | DVA Back - 6715 LLC | 82 Flanders Road, Westborough, Massachusetts 01581 |
| Washington State Corporations | DVA CAPITAL LLC | 13932 15th Pl W, Lynnwood, WA 98087-6087 |
| Virginia Business Entities | DVA Chain - 2081 LLC | 82 Flanders Rd, Westborough, Massachusetts 01581 |
| Vermont Business Registrations | DVA CONSORTIUM, LLC | 400 Professional Drive, Suite 200, Gaithersburg, MD 20879 |
| Oregon Corporations, Companies and Business Names | DVA CONSTRUCTION, LLC | 2202 Nw 7th St, Battle Ground, WA 98604 |
| Washington State Corporations | DVA CONSTRUCTION, LLC | 2202 Nw 7th St, Battle Ground, WA 98604 |
| New York State Corporations | DVA CONSULTING LLC | 34 Aaron Lane, Staten Island, Ny 10309 |
| Street Address |
421 N MAIN ST VA MEDICAL CENTER |
| City | LEEDS |
| State | MA |
| Zip Code | 01053-9764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922096205 | Alice Mccormick Abbott | Internal Medicine | 421 N Main St, Leeds, MA 01053-9764 | 2005-10-11 |
| 1346850088 | Elisa Roberts | Nurse Practitioner | 421 N Main St, Leeds, MA 01053-9764 | 2020-08-07 |
| 1558906669 | Tatiana K. Lakalo | Social Worker | 421 N Main St, Leeds, MA 01053-9764 | 2019-11-12 |
| 1831743954 | Sabina Camponogara | Psychologist | 421 N Main St, Leeds, MA 01053-9764 | 2019-07-26 |
| 1528627551 | Kimberly Marie Grey | Audiologist | 421 N Main St, Leeds, MA 01053-9764 | 2019-06-12 |
| 1912464694 | Rachael M Wilson | Psychologist | 421 N Main St, Leeds, MA 01053-9764 | 2019-02-28 |
| 1508331554 | Shamus Sullivan | Counselor | 421 N Main St, Leeds, MA 01053-9764 | 2018-10-05 |
| 1962982363 | Shayna Alexis Bronstein | Registered Nurse | 421 N Main St, Leeds, MA 01053-9764 | 2018-08-16 |
| 1114413713 | Matthew J Charette | Social Worker | 421 N Main St, Leeds, MA 01053-9764 | 2018-07-06 |
| 1386130268 | Linda Darlene Hinkle | Social Worker | 421 N Main St, Leeds, MA 01053-9764 | 2018-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790297448 | Theresa Koloski | Nurse Practitioner | 38 Mulberry St # 204, Po Box 313, Leeds, MA 01053 | 2017-11-02 |
| 1881881878 | Geneva R Schmitt | Psychologist | 421 N. Main St. Va Central Western Ma, Leeds, MA 01053 | 2007-10-03 |
| 1457545014 | Angela Marie Park | Pharmacist | 421 N. Main St, Department of Veterans Affairs Medical Center, Leeds, MA 01053 | 2007-08-28 |
| 1720297351 | Amy Rowen | Social Worker | 421 No. Main St, Building 9a, Leeds, MA 01053 | 2007-05-21 |
| 1124125687 | Harry Savas Vulopas | Counselor | 421 North Main, Leeds, MA 01053 | 2006-09-19 |
| 1861506966 | Benjamin F Thompson | Social Worker | 38 Mulberry Street, P.o. Box 479, Leeds, MA 01053 | 2006-08-18 |
| 1003849969 | Ahmad Karagah | Specialist | 421 North Main Street, Northampton Va Medical Center, Leeds, MA 01053 | 2006-07-07 |
| 1043299456 | Steven Gary Kessler | Psychiatry & Neurology | 421 N. Main St., Northampton Va Medical Center, Leeds, MA 01053 | 2006-01-13 |
| 1619500774 | Martila Hooks | Counselor | 401 N Main Street, Leeds, MA 01053 | 2020-02-18 |
| 1215572839 | William Theodore Bryant | Student in an Organized Health Care Education/Training Program | 421 N. Main Street, Leeds, MA 01053 | 2019-11-07 |
| Find all providers in zip 01053 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700121340 | Va Health Care Systems | Psychiatric Hospital | 421 N Main St, Leeds, MA 01053-9764 | 2012-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861901910 | Westborough Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 300 Friberg Pkwy, Westborough, MA 01581-3900 | 2017-09-20 |
| 1790223220 | Uhs of Westwood Pembroke | Psychiatric Hospital | 456 Mammoth Rd Apt 2, Dracut, MA 01826-6157 | 2017-02-04 |
| 1639615685 | Mariel Catherine Marfongelli | Psychiatric Hospital | 537 E 6th St Apt 1, Boston, MA 02127-3070 | 2017-01-15 |
| 1801041306 | Anne Mullaney | Psychiatric Hospital | 57 Settler Rd, Plymouth, MA 02360-2959 | 2008-11-25 |
| 1104077544 | Va Medical Center Brockton Ma | Psychiatric Hospital | 25 Belmont Ct Apt 8, Brockton, MA 02301-4730 | 2008-10-03 |
| 1497947899 | Boston Medical Center | Psychiatric Hospital | 272 Albion St, Apt 3, Wakefield, MA 01880-3154 | 2007-08-10 |
| 1346385267 | Claudia Helen Orleans | Psychiatric Hospital | 8 Hillcrest Ave, Nahant, MA 01908-1113 | 2007-02-20 |
| 1881787455 | Department of Mental Health | Psychiatric Hospital | 288 Lyman St., Westboro, MA 01581 | 2006-10-02 |
| 1407884059 | The Commonwealth of Massachusetts | Psychiatric Hospital | 460 Quincy Ave, Quincy, MA 02169-8130 | 2006-06-30 |
| 1619944105 | Cambridge Health Alliance | Psychiatric Hospital | 156 Raymond St, Apt 2, Cambridge, MA 02140-3315 | 2006-03-02 |
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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.