Cleanslate Centers, LLC
Cleanslate Centers, LLC is a healthcare organization registered as Addiction Medicine (Internal Medicine) Physician in West Springfield, MA, holding Type 2 (organization) NPI 1629398433 since 2010. The authorized official on file is Amanda Wilson, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629398433 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Cleanslate Centers, LLC |
| Practice address | 82 MAIN ST, West Springfield, MA, 01089 |
| Phone | 4137880100 |
| Fax | 4137361813 |
| Enumeration date | 2010-06-03 |
| Last updated in NPPES | 2010-06-09 |
Authorized official
| Name | Amanda Wilson |
|---|---|
| Title | Owner |
| Phone | 4137880100 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor | Secondary | — | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | Secondary | — | — |
| 104100000X | Social Worker | Secondary | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | Secondary | — | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | Primary | — | — |
Copy-ready billing details
Provider: Cleanslate Centers, LLC NPI: 1629398433 Taxonomy: 207RA0401X (Addiction Medicine (Internal Medicine) Physician) Address: 82 MAIN ST, West Springfield, MA, 01089
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528350352 | Priyanka Seth | Individual | Physician Assistant | West Springfield, MA |
| 1205279304 | Mary Canale | Individual | Adult Health Nurse Practitioner | West Springfield, MA |
| 1417393083 | Angelina Hodgkins | Individual | Physician Assistant | West Springfield, MA |
Verify this record
Cross-check NPI 1629398433 against the authoritative CMS record: view Cleanslate Centers, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Cleanslate Centers, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-06-09.