Provider Demographics
NPI:1932687290
Name:APONTE-BERLY, RITCHELLE
Entity Type:Individual
Prefix:
First Name:RITCHELLE
Middle Name:
Last Name:APONTE-BERLY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 CRAIG DR APT Z5
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-1469
Mailing Address - Country:US
Mailing Address - Phone:413-504-2848
Mailing Address - Fax:
Practice Address - Street 1:8 ATWOOD DR STE 201
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-4266
Practice Address - Country:US
Practice Address - Phone:413-582-0471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-30
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA12529OtherHNE
MA042622756OtherCCA
MAY10086OtherMEDICARE
MA71756OtherTUFTS
MA997303OtherNETWORK HEALTH
MA1134107113OtherFALLON
MA1134107113Medicaid
MA12529OtherHNE
MAY10086OtherMEDICARE
MA997303OtherNETWORK HEALTH