Healthcare Provider Details
I. General information
NPI: 1316253875
Provider Name (Legal Business Name): SAVIDA HEALTH, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/23/2010
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 UNION ST
W SPRINGFIELD MA
01089-3317
US
IV. Provider business mailing address
PO BOX 291943
NASHVILLE TN
37229-1943
US
V. Phone/Fax
- Phone: 413-732-0040
- Fax: 413-732-7007
- Phone: 833-952-0829
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RA0401X |
| Taxonomy | Addiction Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARINA
MAHONEY
Title or Position: VP, REVENUE CYCLE MANAGEMENT
Credential: M.D.
Phone: 913-213-1084