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Organization

THE ADD CENTER OF WESTERN MASSACHUSETTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MITCHELL I CLIONSKY (PRESIDENT DIRECTOR)
(413) 734-2800
Entity
Organization

Contact information

Practice address
155 MAPLE STREET, SUITE 203, SPRINGFIELD, MA 01105-1828
(413) 734-2800
(413) 739-1652
Mailing address
155 MAPLE STREET, SUITE 203, SPRINGFIELD, MA 01105-1828
(413) 734-2800
(413) 739-1652

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
103T00000X
Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
W10372
BCBS OF MA
Enumeration date
11/21/2006
Last updated
09/11/2025
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