Organization Active NPI

Pioneer Valley Psychological Assessment, Inc.

  • Clinical Psychologist
  • Greenfield, MA
National Provider Identifier
1467900431
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8025 Issued in MA
Legal business name
PIONEER VALLEY PSYCHOLOGICAL ASSESSMENT, INC.
Practice address
25 Bank Row
Suite 2S
Greenfield, MA 01301
Phone
(413) 475-0086
Fax
(909) 752-4363
NPI assigned
Sep 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Dr. Claudia Bukszpan Rutherford, PHDNPI 1295734358
Title
President
Phone
(413) 475-0086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 8025 MA Primary

Addresses

Primary practice location

25 Bank Row
Suite 2S
Greenfield, MA 01301

Mailing address

25 Bank Row
Suite 2S
Greenfield, MA 01301
Phone (413) 475-0086

Other identifiers 1

IdentifierTypeStateIssuer
110022502AMedicaidMA

Other names 1

  • Pioneer Valley Psychological Assessment Doing business as

National Provider Directory

National Provider Directory

Locations

25 Bank Row St
Ste 2S
Greenfield, MA 01301
Phone (413) 475-0086

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1467900431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BANK ROW",
            "address_2": "SUITE 2S",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "01301",
            "telephone_number": "413-475-0086",
            "fax_number": "909-752-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BANK ROW",
            "address_2": "SUITE 2S",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "01301",
            "telephone_number": "413-475-0086",
            "fax_number": "909-752-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER VALLEY PSYCHOLOGICAL ASSESSMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "BUKSZPAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-475-0086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110022502A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Valley Psychological Assessment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pioneer Valley Psychological Assessment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.