Healthcare Provider Details

I. General information

NPI: 1053228593
Provider Name (Legal Business Name): WESTERN MASS HEADACHE CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 INDIAN PARK
CHICOPEE MA
01013-2518
US

IV. Provider business mailing address

1981 MEMORIAL DR
CHICOPEE MA
01020-4322
US

V. Phone/Fax

Practice location:
  • Phone: 413-707-7250
  • Fax: 413-707-7250
Mailing address:
  • Phone: 413-707-7250
  • Fax: 413-707-7250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KRISTIE HARRINGTON
Title or Position: OWNER
Credential: FNP-BC, AQH
Phone: 413-707-7250