Active NPI
Sanford Bloomberg MD PC
- Psychiatry Physician
- Northampton, MA
National Provider Identifier
1003085762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 31443
- Legal business name
- SANFORD BLOOMBERG MD PC
- Practice address
- 16 Center Street
Room 226
Northampton, MA 01060 - Phone
- (413) 584-1402
- Fax
- (413) 585-1565
- NPI assigned
- Feb 27, 2008
- Last updated
- Feb 27, 2008
- Organization subpart
- Yes
- Parent organization
- SANFORD BLOOMBERG MD PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sanford Bloomberg
- Title
- PC President
- Phone
- (413) 584-1402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 31443 | MA | Primary |
Addresses
Primary practice location
16 Center Street
Room 226
Northampton, MA 01060
Mailing address
112 Washington Avenue
Northampton, MA 01060
Phone (413) 584-1402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SAM13765 | Medicaid | MA |
Other names 1
- Sanford Bloomberg MD
National Provider Directory
National Provider Directory- Part of
- Sanford Bloomberg MD PC
Locations
16 Center St
Ste 226
Northampton, MA 01060
Phone (413) 210-0825
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Social Worker
- Northampton, MA
- NPI 1275558793
-
- Psychologist
- Northampton, MA
- NPI 1184750671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204070400000",
"number": "1003085762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 WASHINGTON AVENUE",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "01060",
"telephone_number": "413-584-1402",
"fax_number": "413-585-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 CENTER STREET",
"address_2": "ROOM 226",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "01060",
"telephone_number": "413-584-1402",
"fax_number": "413-585-1565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANFORD BLOOMBERG MD PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SANFORD BLOOMBERG MD PC",
"enumeration_date": "2008-02-27",
"last_updated": "2008-02-27",
"status": "A",
"authorized_official_last_name": "BLOOMBERG",
"authorized_official_first_name": "SANFORD",
"authorized_official_title_or_position": "PC PRESIDENT",
"authorized_official_telephone_number": "413-584-1402",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "31443",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SAM13765",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sanford Bloomberg MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.