Active NPI
George Edward Abbott, PHD
- Psychologist
- Northampton, MA
National Provider Identifier
1326103201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4476
- Practice address
- 16 Center St
Suite 327
Northampton, MA 01060-3031 - Phone
- (413) 534-1888
- Fax
- (413) 538-5192
- NPI assigned
- Dec 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4476 | MA | Primary |
Addresses
Primary practice location
16 Center St
Suite 327
Northampton, MA 01060-3031
Mailing address
16 Center St
Suite 327
Northampton, MA 01060-3031
Phone (413) 534-1888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4476 | Other | MA | STATE PSYCHOLOGIST LICENS |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
16 Ctr St
Suite 303
Northampton, MA 01060-3031
Phone (413) 534-1888
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080619000653 | MA | Practitioner - Clinical Psychologist | 5991876856 | Practice locations: Northampton, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4476 | MA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326103201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 CENTER ST",
"address_2": "SUITE 327",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603031",
"telephone_number": "413-534-1888",
"fax_number": "413-538-5192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 CENTER ST",
"address_2": "SUITE 327",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603031",
"telephone_number": "413-534-1888",
"fax_number": "413-538-5192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "GEORGE",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4476",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PSYCHOLOGIST LICENS",
"identifier": "4476",
"state": "MA"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.