Active NPI
Craig Latham, PH.D.
- Forensic Psychologist
- Shelburne Falls, MA
National Provider Identifier
1154690105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 3349
- Practice address
- 291 Patten Rd
Shelburne Falls, MA 01370 - Phone
- (508) 650-4800
- NPI assigned
- Dec 20, 2011
- Last updated
- May 14, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 3349 | MA | |
| Forensic Psychologist | 103TF0200X | 3349 | MA | Primary |
Addresses
Primary practice location
291 Patten Rd
Shelburne Falls, MA 01370
Mailing address
291 Patten Rd
Shelburne Falls, MA 01370-9510
Phone (508) 650-4800
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3349 | MA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1154690105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 PATTEN RD",
"city": "SHELBURNE FALLS",
"state": "MA",
"postal_code": "013709510",
"telephone_number": "508-650-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 PATTEN RD",
"city": "SHELBURNE FALLS",
"state": "MA",
"postal_code": "01370",
"telephone_number": "508-650-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATHAM",
"first_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-20",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "3349",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MA",
"license": "3349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelburne Falls, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.