Jeffrey P Foote, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0107231 Issued in NY

Practice address

291 Main St # 24
Great Barrington, MA 01230-1608

Phone

(917) 509-1306

NPI assigned

Jun 12, 2018

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 9, 2020 through Nov 9, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• CMC Berkshires LLC

  • Substance Abuse Rehabilitation Facility
  • New Marlborough, MA
  • NPI 1588060370
  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1336632546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STONE MANOR DR",
            "city": "NEW MARLBOROUGH",
            "state": "MA",
            "postal_code": "012309744",
            "telephone_number": "413-429-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 MAIN ST # 24",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301608",
            "telephone_number": "917-509-1306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Stone Manor Dr",
            "address_purpose": "LOCATION",
            "city": "New Marlborough",
            "state": "MA",
            "postal_code": "012309744",
            "country_code": "US",
            "telephone_number": "413-429-9293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOOTE",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0107231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan S Fish
• Erin C Fleig, OTR/L, CHT
• Kathleen A Floyd, FNP BC
• Kristen Flynn, NBC-HWC
• Melanie Ann Flynn, LMT
• Isabelle Clark Foster, LICSW
• Steven Freed
• Deborah Frigon
• Sharon Kathleen Gale, PT
• Nichole Gardner

• All providers in Great Barrington, MA
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.