Individual provider Active NPI

Paul Arthur Bryon Pierce, EDD

  • Psychologist
  • South Deerfield, MA
National Provider Identifier
1063588697
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0077 Issued in MA
Practice address
39 King Philip Ave
South Deerfield, MA 01373-1126
Phone
(413) 397-3116
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0077 MA Primary

Addresses

Primary practice location

39 King Philip Ave
South Deerfield, MA 01373-1126

Mailing address

39 King Philip Ave
South Deerfield, MA 01373-1126
Phone (413) 397-3116

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
I20110919000749 MA Practitioner - Clinical Psychologist 4082885249 Practice locations: South Deerfield, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0077MAMDPsychologist
77MAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1063588697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 KING PHILIP AVE",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013731126",
            "telephone_number": "413-397-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 KING PHILIP AVE",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013731126",
            "telephone_number": "413-397-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "PAUL",
        "middle_name": "ARTHUR BRYON",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "0077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Deerfield, MA

Sources for this page

Verify at the official NPI Registry.