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Petra Ines Cervoni , LICSW

Physician β€’ Holyoke, MA

Deactivated NPI 1447474572 Deactivated in NPPES Female Practitioner
Practice location in NPPES

575 Beech St
Holyoke, MA 01040

Phone: 4135342627

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of November 20, 2025; the reason is not published. The records below are historical. They do not show whether Petra Cervoni currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date April 12, 2007
NPI Deactivation Date November 20, 2025
NPI Active Period 2007 – 2025

Practice Location & Contact Primary Location

Practice Address

575 Beech St

Holyoke, MA 01040

Telephone 4135342627
Fax 4135342651
Organization at the Same NPPES Address or Phone
Emergency Medicine Associates Facility NPI 1598877037

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Holyoke and Massachusetts

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

General Acute Care Hospital Primary Specialty

NUCC Taxonomy Code: 282N00000X

License # reported to NPPES MA 107232

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

37 listed
Stephanie Adamski , PA-C

Physician Assistant - Medical

NPI 1265833768

Physician Assistant (Certified)

Dr. Vamseedhar Alla , MD

Internal Medicine

NPI 1083646517

Doctor of Medicine (M.D.)

Dr. Susan Anti , MD

Anesthesiology

NPI 1306837174

Doctor of Medicine (M.D.)

Elizabeth Bechthold , CNP

Nurse Practitioner - Family

NPI 1962133546

Certified Nurse Practitioner

Constance Crain , LICSW

Social Worker - Clinical

NPI 1659448330

Licensed Independent Clinical Social Worker

Dr. Mel Currie , DO

Emergency Medicine

NPI 1891087052

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated November 20, 2025

NPPES lists this NPI as deactivated as of November 20, 2025; the reason is not published.

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 575 BEECH ST, HOLYOKE, MA 01040 (Tel: 4135342627)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 101 MULBERRY ST, #509, SPRINGFIELD, MA 01105 (Tel: 4137813163)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as PETRA CERVONI, LICSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Acute Care Hospital (license number reported to NPPES: MA 107232)

🟒
Initial NPI Registration & Enumeration April 12, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447474572
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2007
Last Update: July 08, 2007
Deactivation Date: November 20, 2025

Mailing Address

101 Mulberry St, #509

Springfield, MA 01105

Phone: 4137813163

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.