Active NPI
Terese Katz, PH.D.
- Clinical Psychologist
- Northampton, MA
National Provider Identifier
1073685947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6842
- Practice address
- 90 Conz St
Northampton, MA 01060-3881 - Phone
- (413) 586-5880
- Fax
- (413) 584-2738
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6842 | MA | Primary |
Addresses
Primary practice location
90 Conz St
Northampton, MA 01060-3881
Mailing address
90 Conz St
Northampton, MA 01060-3881
Phone (413) 586-5880
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 776600 | Other | MA | TUFTS HEALTH PLAN |
| W50020 | Other | MA | MEDICARE ID |
| 1891103 | Other | MD | MBHP |
| 272844000 | Other | MD | MAGELLAN BEHAVIORAL HEALT |
| W05548 | Other | MD | BCBS |
| 0596191 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
331 Leonard St
Brooklyn, NY 11211-2309
Phone (718) 668-1919
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025203 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Psychology PLLC | Current | Accepting new patients |
Locations
265 Franklin St
Ste 1702
Boston, MA 02110
Phone (203) 721-6500
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.
-
- Psychologist
- Brooklyn, NY
- NPI 1477058998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1073685947",
"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": "413-586-5880",
"fax_number": "413-584-2738"
},
{
"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": "413-586-5880",
"fax_number": "413-584-2738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "TERESE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "6842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "776600",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "W50020",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHP",
"identifier": "1891103",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "272844000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W05548",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0596191",
"state": "MA"
}
],
"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 Sep 28, 2011; 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.