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Ximar Carrillo

Mental Health

168 Merrimac Ave
Springfield , Massachusetts 01104-2038

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Image

Ximar Carrillo

Mental Health

168 Merrimac Ave
Springfield , Massachusetts 01104-2038

(787) 704-9775

Write a Review Save Call

Ximar Carrillo

Mental Health

168 Merrimac Ave
Springfield , Massachusetts 01104-2038

(787) 704-9775 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Mental Health

Languages spoken

  • English

Location

168 Merrimac Ave Springfield , Massachusetts 01104-2038

First Address

  • Ximar Carrillo
  • 168 Merrimac Ave
  • Springfield, MA
  • Zip : 01104-2038
  • Phone : (787) 704-9775

Second Address

  • Ximar Carrillo
  • 168 Merrimac Ave
  • Springfield, MA
  • Zip : 01104-2038
  • Phone : (787) 704-9775

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FAQs


Where did Ximar Carrillo attend graduate school?

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Where did Ximar Carrillo do her residency?

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Where did Ximar Carrillo do her fellowship?

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Is Ximar Carrillo board certified?

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What type of doctor is Ximar Carrillo

Mental Health

In what state does Ximar Carrillo practice in?

Massachusetts

Where is Ximar Carrillo ’s practice located?

168 Merrimac Ave , Springfield, Massachusetts, 01104-2038

What is Ximar Carrillo ’s gender?

Female

Is Ximar Carrillo a sole practitioner?

No

Is Ximar Carrillo accepting new patients?

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What languages does Ximar Carrillo speak?

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Does Ximar Carrillo accept insurance?

Yes, Ximar Carrillo accepts insurance

Does Ximar Carrillo offers telemedicine?

Ximar Carrillo has not indicated if she offers telemedicine

What is Ximar Carrillo ’s professional license number?

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What is Ximar Carrillo ’s NPI number?

1932639507

Does Ximar Carrillo have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 225XM0800X Mental Health

National Provider Identifier

NPI 1932639507
Provider Name Ximar Carrillo
First Address Springfield, MA 01104-2038
Second Address Springfield, MA 01104-2038
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 15/06/2017
Last Update Date 05/10/2017

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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