Individual provider Active NPI

Charles Peter Tsarnas, PH.D.

  • Psychologist
  • Northampton, MA
National Provider Identifier
1417097544
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2700 Issued in MA
Practice address
140 Main St
Suite 300
Northampton, MA 01060-3123
Phone
(413) 584-0585
Fax
(413) 584-0515
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2700 MA Primary

Addresses

Primary practice location

140 Main St
Suite 300
Northampton, MA 01060-3123

Mailing address

140 Main St.
Suite 300
Northampton, MA 01060-3256
Phone (413) 584-0585

Other identifiers 1

IdentifierTypeStateIssuer
W02856OtherMABLUE CROSS BLUE SHIELD MA

Medicare participation

Medicare enrollment files
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 Mar 31, 2014 through Mar 31, 2028

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1417097544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MAIN ST.",
            "address_2": "SUITE 300",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603256",
            "telephone_number": "413-584-0585",
            "fax_number": "413-584-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MAIN ST",
            "address_2": "SUITE 300",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603123",
            "telephone_number": "413-584-0585",
            "fax_number": "413-584-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSARNAS",
        "first_name": "CHARLES",
        "middle_name": "PETER",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "2700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "W02856",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.