Active NPI
Kenneth Eric Jaffe, MD
- Psychiatry Physician
- Holyoke, MA
National Provider Identifier
1285737874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 47691
- Practice address
- 10 Hospital Dr
Suite 107
Holyoke, MA 01040-6643 - Phone
- (413) 534-2582
- Fax
- (413) 534-2792
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 47691 | MA | Primary |
Addresses
Primary practice location
10 Hospital Dr
Suite 107
Holyoke, MA 01040-6643
Mailing address
10 Hospital Dr
Suite 107
Holyoke, MA 01040-6643
Phone (413) 534-2582
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344211200000",
"number": "1285737874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 HOSPITAL DR",
"address_2": "SUITE 107",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010406643",
"telephone_number": "413-534-2582",
"fax_number": "413-534-2792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HOSPITAL DR",
"address_2": "SUITE 107",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010406643",
"telephone_number": "413-534-2582",
"fax_number": "413-534-2792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFE",
"first_name": "KENNETH",
"middle_name": "ERIC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2012-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "47691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.