Individual provider Active NPI

Ricki Ellen Kantrowitz, PH.D.

  • Clinical Psychologist
  • Westfield, MA
National Provider Identifier
1013067529
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2616 Issued in MA
Practice address
70 Court St
Ste 10
Westfield, MA 01085-3521
Phone
(413) 562-1011
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2616 MA Primary

Addresses

Primary practice location

70 Court St
Ste 10
Westfield, MA 01085-3521

Mailing address

41 Warburton Way
Northampton, MA 01060-1658
Phone (413) 586-3970

Other identifiers 2

IdentifierTypeStateIssuer
W02764OtherMABLUE CROSS BLUE SHIELD
13481OtherMAHEALTH NEW ENGLAND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000468 MA Practitioner - Clinical Psychologist 7719154269 Practice locations: Westfield, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

94 N Elm St
Suite 301a
Westfield, MA 01085-1641
Phone (413) 562-1011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2616MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Something Different Clinical Services PLLC PastSince Dec 22, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1013067529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WARBURTON WAY",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010601658",
            "telephone_number": "413-586-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 COURT ST",
            "address_2": "STE 10",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010853521",
            "telephone_number": "413-562-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTROWITZ",
        "first_name": "RICKI",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "2616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W02764",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "13481",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

Verify at the official NPI Registry.