Organization Active NPI

Sanford Bloomberg MD PC

  • Psychiatry Physician
  • Northampton, MA
National Provider Identifier
1003085762
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
31443 Issued in MA
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, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SANFORD BLOOMBERG MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
SAM13765MedicaidMA

Other names 1

  • Sanford Bloomberg MD Other name

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.

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.

Verify at the official NPI Registry.