Organization Active NPI

Northampton Neurology, LLC

  • Neurology Physician
  • Northampton, MA
National Provider Identifier
1245362177
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NORTHAMPTON NEUROLOGY, LLC
Practice address
69 State St
Northampton, MA 01060-3049
Phone
(413) 586-8156
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Jeanine Downie
Title
Credentials Specialist
Phone
(413) 582-2342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

69 State St
Northampton, MA 01060-3049

Mailing address

69 State St
Northampton, MA 01060-3049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050308001065 MA Part B Supplier - Clinic/Group Practice 4183678626 Receives reassigned benefits from 1 practitioner
Practice locations: Northampton, MA

National Provider Directory

National Provider Directory

Locations

69 State St
Ste 101
Northampton, MA 01060
Phone (413) 586-8156

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1245362177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 STATE ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 STATE ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603049",
            "telephone_number": "413-586-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHAMPTON NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "DOWNIE",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "CREDENTIALS SPECIALIST",
        "authorized_official_telephone_number": "413-582-2342"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.