Charles Blomquist, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

287492 Issued in MA

Practice address

25 Main Street
Stockbridge, MA 01262

Phone

(139) 315-3444

Fax

(413) 298-4020

NPI assigned

Jul 5, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charlesblomquist@bfs.medalliesdirect.net

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

• Community Health Programs, Inc.

  • Federally Qualified Health Center (FQHC)
  • Great Barrington, MA
  • NPI 1013953009

  MA

  Medicare reassignment Care Compare group NPD
• Charles Blomquist PC

  • Psychiatry Physician
  • Stockbridge, MA
  • NPI 1376492462

  Psychiatry

  NPD Authorized official
• Community Health Programs, Inc.

  • Pediatrics Physician
  • Pittsfield, MA
  • NPI 1942720214
  Care Compare group NPD
• Community Health Programs

  • Federally Qualified Health Center (FQHC)
  • Great Barrington, MA
  • NPI 1447488358
  Care Compare group
• Community Health Programs

  • Community Health Clinic/Center
  • Pittsfield, MA
  • NPI 1649408899
  Care Compare group
• Community Health Programs

  • Community Health Clinic/Center
  • Lee, MA
  • NPI 1689945784
  Care Compare group
• Community Health Programs, Inc

  • Federally Qualified Health Center (FQHC)
  • Adams, MA
  • NPI 1912272899
  Care Compare group
• Berkshire Faculty Services Inc

  • Multi-Specialty Clinic/Center
  • Pittsfield, MA
  • NPI 1548212939
  NPD

Specialty

Psychiatry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Programs Inc 45 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1326569807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962",
            "city": "STOCKBRIDGE",
            "state": "MA",
            "postal_code": "012620962",
            "telephone_number": "413-931-5344",
            "fax_number": "413-298-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAIN STREET",
            "city": "STOCKBRIDGE",
            "state": "MA",
            "postal_code": "01262",
            "telephone_number": "139-315-3444",
            "fax_number": "413-298-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOMQUIST",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-05",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "287492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berkshire Whole Health PC
• Heidi Berman-Rose, M.S.W.
• Christina Louise Biedermann, PSY.D.
• Michael Blake, PSY.D.
• Abigail Bliss, MS
• George Bombel, PH.D.
• Lisa Marie Bozzuto, R.N.
• Joan Susan Burkhard, LICSW
• Anne Mary Carter, M.D.
• Vivian Chan

• All providers in Stockbridge, MA
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.

Verify at the official NPI Registry.