Provider Demographics
NPI:1144610734
Name:MACRI, ANA MARLEEN
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:MARLEEN
Last Name:MACRI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:MARLEEN
Other - Last Name:COLON VELAZQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:75 COWLS RD APT A-215
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-1453
Mailing Address - Country:US
Mailing Address - Phone:413-459-3770
Mailing Address - Fax:
Practice Address - Street 1:75 COWLS RD APT A-215
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-1453
Practice Address - Country:US
Practice Address - Phone:413-459-3770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-03
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1303295Medicaid
MA1307576Medicaid
MAM18463OtherBLUE CROSS BLUE SHIELD
MA1303295Medicaid