Fabiola C Cancino-ticona (NPI# 1073841722, PAC ID# 7911190822) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1073841722 |
| PAC ID by PECOS | 7911190822 |
| Professional Enrollment ID | I20101025000302 |
| Full Name | Fabiola C Cancino-ticona |
| Organization Legal Name | CLINICAL AND SUPPORT OPTIONS, INC |
| Address |
1 Arch Pl Greenfield MA 01301-2457 |
| Phone Number | 4137741000 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 6608835350 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220077 | BAYSTATE MEDICAL CENTER |
| 220016 | BAYSTATE FRANKLIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Arch Pl, Greenfield, MA 01301-2457 | 4137741000 | CLINICAL AND SUPPORT OPTIONS, INC |
| Organization Legal Name | CLINICAL AND SUPPORT OPTIONS, INC |
| Physicians | 93 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Tarr | Nurse Practitioner | Clinical and Support Options, Inc | 2033 Main St, L2, Athol, MA 01331-3535 |
| Karen L Carlo | Clinical Social Worker | Clinical and Support Options, Inc | 8 Atwood Dr, Suite 201, Northampton, MA 01060-4266 |
| Avera D Morrison | Clinical Social Worker | Clinical and Support Options, Inc | 31 Lake St, Suite 161, Gardner, MA 01440-3879 |
| Jennifer L Jakowski | Clinical Social Worker | Clinical and Support Options, Inc | 130 Maple St, Suite 325, Springfield, MA 01103-2215 |
| Gail S Bass | Clinical Social Worker | Clinical and Support Options, Inc | 877 S St, Suite 200, Pittsfield, MA 01201-8243 |
| James W Cooksy | Clinical Social Worker | Clinical and Support Options, Inc | 1 Arch Pl, Greenfield, MA 01301-2457 |
| Theodore M. Jasnos | Psychologist, Clinical | Clinical and Support Options, Inc | 205 School St, Suite 301, Gardner, MA 01440-2781 |
| Sara M Stodulski | Clinical Social Worker | Clinical and Support Options, Inc | 1 Arch Pl, Greenfield, MA 01301-2457 |
| Joy M Gosselin | Clinical Social Worker | Clinical and Support Options, Inc | 130 Maple St, Suite 325, Springfield, MA 01103-2215 |
| Tara M Dennis | Nurse Practitioner | Clinical and Support Options, Inc | 8 Atwood Dr, Suite 201, Northampton, MA 01060-4266 |
| Street Address |
1 ARCH PL |
| City | GREENFIELD |
| State | MA |
| Zip | 01301-2457 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Cooksy | Clinical Social Worker | Clinical and Support Options, Inc | 1 Arch Pl, Greenfield, MA 01301-2457 |
| Sara M Stodulski | Clinical Social Worker | Clinical and Support Options, Inc | 1 Arch Pl, Greenfield, MA 01301-2457 |
| Susan D Gershwin | Clinical Social Worker | Clinical and Support Options, Inc | 1 Arch Pl, Greenfield, MA 01301-2457 |
| Ann Norris | Clinical Social Worker | Clinical and Support Options, Inc | 1 Arch Pl, Greenfield, MA 01301-2457 |
| Laura Davis | Clinical Social Worker | Clinical and Support Options, Inc | 1 Arch Pl, Greenfield, MA 01301-2457 |
| David Wein | Clinical Social Worker | Clinical and Support Options, Inc | 1 Arch Pl, Greenfield, MA 01301-2457 |
| Robert J Osterman Jr | Clinical Social Worker | Clinical and Support Options, Inc | 1 Arch Pl, Greenfield, MA 01301-2457 |
| Abigail Moore | Clinical Social Worker | Clinical and Support Options, Inc | 1 Arch Pl, Greenfield, MA 01301-2457 |
| John M Talbot | Certified Clinical Nurse Specialist (cns) | Clinical and Support Options, Inc | 1 Arch Pl, Greenfield, MA 01301-2457 |
| Nancy Jessup | Clinical Social Worker | Clinical and Support Options, Inc | 1 Arch Pl, Greenfield, MA 01301-2457 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Despina E Hoffman | Nephrology | Kidney Care and Transplant Services of New England PC | 115 Wildwood Ave, Greenfield, MA 01301-1215 |
| Kimberly Vera Spence | Optometry | Myeyedr Optometry of Massachusetts P C | 489 Bernardston Rd, Greenfield, MA 01301-1238 |
| Anna S La Tourette | Clinical Social Worker | Center for Human Development, Inc. | 489 Bernardston Rd, Greenfield, MA 01301-1238 |
| Brad S Foster | Ophthalmology | Pioneer Valley Ophthalmic Consultants, P.C. | 489 Bernardston Rd, Greenfield, MA 01301-1238 |
| Andrew Lam | Ophthalmology | Pioneer Valley Ophthalmic Consultants, P.C. | 489 Bernardston Rd, Greenfield, MA 01301-1238 |
| Margaret Donovan | Nurse Practitioner | Community Health Center of Franklin County Incorporated | 489 Bernardston Rd, Suite 108, Greenfield, MA 01301-1239 |
| Robert J Austin | Ophthalmology | 63 French King Hgwy, Greenfield, MA 01301-1337 | |
| Barry E Poret | Internal Medicine | 63 French King Hwy, Suite 3, Greenfield, MA 01301-1337 | |
| Rebecca L Bucala | Physical Therapy | Valley Medical Group, P.C. | 329 Conway St, Greenfield, MA 01301-1514 |
| Michelle L. Kofler | Physical Therapy | Valley Medical Group, P.C. | 329 Conway St, Greenfield, MA 01301-1514 |
| Find all physicians in zip 01301 | |||
| City | GREENFIELD |
| Zip Code | 01301 |
| Specialty | PSYCHIATRY |
| City + Specialty | GREENFIELD + PSYCHIATRY |
Please comment or provide details below to improve the information on Fabiola C Cancino-ticona.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.