Individual provider Active NPI

Sandra Leah Berchulski, MA LMHC

  • Mental Health Counselor
  • Northampton, MA
National Provider Identifier
1013084896
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
482 Issued in MA
Practice address
90 Conz St
Northampton, MA 01060-3881
Phone
(413) 320-5638
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 482 MA Primary

Addresses

Primary practice location

90 Conz St
Northampton, MA 01060-3881

Mailing address

90 Conz St
Northampton, MA 01060-3881
Phone (413) 320-5638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
482MAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1013084896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CONZ ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603881",
            "telephone_number": "413-320-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CONZ ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603881",
            "telephone_number": "413-320-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCHULSKI",
        "first_name": "SANDRA",
        "middle_name": "LEAH",
        "name_prefix": "Ms.",
        "credential": "MA  LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 31, 2012; 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.