Individual provider Active NPI

Constance Jean Carpenter-Bixler, PH.D.

  • Clinical Neuropsychologist
  • Springfield, MA
National Provider Identifier
1306970223
Registry record updated Nov 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
7168 Issued in MA
Practice address
130 Maple St
Suite 326
Springfield, MA 01103-2202
Phone
(413) 297-3097
Fax
(413) 854-6061
NPI assigned
Mar 15, 2007
Last updated
Nov 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 7168 MA Primary

Addresses

Primary practice location

130 Maple St
Suite 326
Springfield, MA 01103-2202

Mailing address

PO Box 861
East Longmeadow, MA 01028-0861
Phone (413) 297-3097

Other identifiers 1

IdentifierTypeStateIssuer
110083668AMedicaidMA

Other names 1

  • Dr. Constance J Carpenter-Bixler Professional 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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000290 MA Practitioner - Clinical Psychologist 3678569746 Reassigns benefits to 2 organizations
Practice locations: Springfield, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

130 Maple St
Suite 229
Springfield, MA 01103-2218
Phone (413) 297-3097

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7168MAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc CurrentSince Feb 19, 2016 Accepting new patients
Baystate Wing Hospital Corporation CurrentSince Dec 24, 2009 Accepting new patients
Baystate Wing Hospital Corporation CurrentSince Dec 24, 2009 Accepting new patients

Locations

40 Wright St
Palmer, MA 01069
Phone (413) 284-5210

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351900800000",
    "number": "1306970223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 861",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010280861",
            "telephone_number": "413-297-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAPLE ST",
            "address_2": "SUITE 326",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032202",
            "telephone_number": "413-297-3097",
            "fax_number": "413-854-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER-BIXLER",
        "first_name": "CONSTANCE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "7168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110083668A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSTANCE",
            "last_name": "CARPENTER-BIXLER",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.