Provider Demographics
NPI:1831232420
Name:ELLEN MURPHY-MANCINI PHD & ASSOCIATES
Entity type:Organization
Organization Name:ELLEN MURPHY-MANCINI PHD & ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:THERAPIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MURPHY-MANCINI
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, PHD
Authorized Official - Phone:413-732-2060
Mailing Address - Street 1:299 CAREW ST
Mailing Address - Street 2:SUITE 315
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2301
Mailing Address - Country:US
Mailing Address - Phone:413-732-2060
Mailing Address - Fax:413-599-0097
Practice Address - Street 1:299 CAREW ST
Practice Address - Street 2:SUITE 315
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2301
Practice Address - Country:US
Practice Address - Phone:413-732-2060
Practice Address - Fax:413-599-0097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP22055Medicare PIN