Bruce I Goderez, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

50762 Issued in MA

Practice address

8 River Dr
Hadley, MA 01035-3540

Phone

(413) 582-1839

Fax

(413) 582-6855

NPI assigned

Jan 5, 2007

Last updated

Oct 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Virginia School of Medicine, 1976

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Valley Optimal Health, PC

  • Adult Mental Health Clinic/Center
  • Hadley, MA
  • NPI 1326550435
  Medicare reassignment Authorized official
• Francis Holistic Medical Center, P.C.

  • General Practice Physician
  • West Boylston, MA
  • NPI 1447361837
  NPD (past)
• Insight Psychiatric Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hadley, MA
  • NPI 1841733763
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cooley Dickinson Hospital Inc

  • General Acute Care Hospital
  • Northampton, MA
  • NPI 1477596310
  Care Compare affiliation
• Cooley Dickinson Hospital Inc

  • Psychiatric Hospital Unit
  • Northampton, MA
  • NPI 1871512814
  Care Compare affiliation

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1023165503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "address_2": "8 RIVER DR.",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010350380",
            "telephone_number": "413-582-1839",
            "fax_number": "413-582-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 RIVER DR",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010353540",
            "telephone_number": "413-582-1839",
            "fax_number": "413-582-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODEREZ",
        "first_name": "BRUCE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "50762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3037746",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail F Fries, LICSW
• Susan E Garrett, LICSW
• John Louis Gauthier, LICSW
• Fatemeh Giahi, PHD, RD, LDN
• Sarah Girouard
• Ester Gomes
• Michelle D Gordon, LMHC
• David Griggs, R.D.O.
• Jessica Guyer, NP
• Hadley Center LLC (Hadley Center for Nursing Rehab and Care)

• Psychiatry Physician in Hadley, MA
• Providers in Hadley, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.