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PEDIATRIC SERVICES OF SPRINGFIELD, INC.
NPI 1790886091
Pediatrics - Adolescent Medicine in East Longmeadow, MA

Active since September 26, 2006CLIA Certified · 2 labs
250 NORTH MAIN STREET, STE. 101, EAST LONGMEADOW, MA 01028(413) 525-1870(413) 525-3883 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Pediatric Services Of Springfield, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC SERVICES OF SPRINGFIELD, INC. (NPI 1790886091) is a healthcare organization registered as an adolescent medicine in East Longmeadow, Massachusetts and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Neil Nordstrom, Dnp/owner, as its authorized official.

NPPES Registry Identity

NPI1790886091
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePEDIATRIC SERVICES OF SPRINGFIELD, INC.
Location Address250 NORTH MAIN STREET, STE. 101East Longmeadow, MA 01028
Mailing Address250 North Main Street, Ste. 101East Longmeadow, MA 01028 · (413) 525-1870 · Fax (413) 525-3883
Phone(413) 525-1870
Fax(413) 525-3883
Organization SubpartNo
Authorized OfficialNeil NordstromDnp/owner · (413) 525-1870
Enumeration DateSeptember 26, 2006
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
✔ NPI 1790886091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in MA · 45445
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
250 NORTH MAIN STREET, East Longmeadow, MA 01028
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2292398

Pediatric Services Of Springfield Inc · East Longmeadow, MA
Active · expires Oct 24, 2027
CLIA Number22D2292398
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorLeif G. Nordstrom
Laboratory Phone(413) 525-1870
Laboratory LocationPediatric Services Of Springfield Inc250 North Main St Ste 101, East Longmeadow, MA 01028
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 22D1049155

Pediatric Services Of Springfield Inc · Wilbraham, MA
Active · expires Dec 26, 2027
CLIA Number22D1049155
Laboratory TypePhysician Office
Certificate Effective DateDecember 27, 2025
Certificate Expiration DateDecember 26, 2027
Laboratory DirectorLeif G. Nordstrom
Laboratory Phone(413) 525-1870
Laboratory LocationPediatric Services Of Springfield Inc70 Post Office Park, Wilbraham, MA 01095
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Services Of Springfield, Inc.'s NPI number?

The NPI number for Pediatric Services Of Springfield, Inc. is 1790886091. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Pediatric Services Of Springfield, Inc. located?

Pediatric Services Of Springfield, Inc. is located at 250 North Main Street Ste. 101, East Longmeadow, MA 01028. The listed phone number is (413) 525-1870.

What is Pediatric Services Of Springfield, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Pediatric Services Of Springfield, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Pediatric Services Of Springfield, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Pediatric Services Of Springfield, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Services Of Springfield, Inc. was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.