Individual provider Active NPI

Charles R Swenson, M.D.

  • Psychiatry Physician
  • Northampton, MA
National Provider Identifier
1225159395
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
151032 Issued in MA
Practice address
110 Main St
Suite a
Northampton, MA 01060-3160
Phone
(413) 268-8643
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 151032 MA Primary

Addresses

Primary practice location

110 Main St
Suite a
Northampton, MA 01060-3160

Mailing address

110 Main St
Suite a
Northampton, MA 01060-3160
Phone (413) 268-8643

Other names 1

  • Charles Robert Swenson Other name

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2026 through Oct 1, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110211000165 MA Practitioner - Psychiatry 9234319047 Practice locations: Northampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Yale University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Main St
Suite a
Northampton, MA 01060-3160

110 Main St a
Northampton, MA 01060-3160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1225159395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "SUITE A",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603160",
            "telephone_number": "413-268-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "SUITE A",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603160",
            "telephone_number": "413-268-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "CHARLES",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "151032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "SWENSON",
            "middle_name": "ROBERT",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.