Individual provider Active NPI

David Anderegg, PHD

  • Clinical Psychologist
  • Lenox, MA
National Provider Identifier
1477677243
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 4202 Issued in MA
Practice address
51 Church St
Lenox, MA 01240-2649
Phone
(413) 637-4009
Fax
(413) 637-4265
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY 4202 MA Primary

Addresses

Primary practice location

51 Church St
Lenox, MA 01240-2649

Mailing address

51 Church St
Lenox, MA 01240-2649
Phone (413) 637-4009

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000606 MA Practitioner - Clinical Psychologist 1153581632 Practice locations: West Stockbridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Iron Mine Rd
West Stockbridge, MA 01266-9221
Phone (413) 281-9694

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY 4202MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Endeavors, LLC PastSince Jun 1, 2022 Accepting new patients
Milton Silverstein, PH.D., P.C. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477677243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CHURCH ST",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402649",
            "telephone_number": "413-637-4009",
            "fax_number": "413-637-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CHURCH ST",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402649",
            "telephone_number": "413-637-4009",
            "fax_number": "413-637-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDEREGG",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PY 4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenox, MA

Sources for this page

Verify at the official NPI Registry.