Active NPI
John Stewart Swanson, M.D.
- Child & Adolescent Psychiatry Physician
- Northampton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 156145
- Practice address
- 1 Prince Street
Massachusetts Department of Mental Health
Northampton, MA 01061-0389 - Phone
- (413) 587-6294
- Fax
- (413) 587-6217
- NPI assigned
- Oct 13, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 156145 | MA | Primary |
Addresses
Primary practice location
1 Prince Street
Massachusetts Department of Mental Health
Northampton, MA 01061-0389
Mailing address
772 N East St
Amherst, MA 01002-1764
Phone (413) 253-5333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 17366
Austin, TX 78760
PO Box
Suite 5478
Pawtucket, RI 02862
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156145 | MA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Community Health Centers | Current | Accepting new patients | |
| Central Texas Community Health Centers | Current | Accepting new patients |
Locations
1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300
301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CommUnityCare
- Family Medicine Physician
- Austin, TX
- NPI 1427882091
-
dba CommUnityCare
- Federally Qualified Health Center (FQHC)
- Austin, TX
- NPI 1598591414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518057579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "772 N EAST ST",
"city": "AMHERST",
"state": "MA",
"postal_code": "010021764",
"telephone_number": "413-253-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PRINCE STREET",
"address_2": "MASSACHUSETTS DEPARTMENT OF MENTAL HEALTH",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010610389",
"telephone_number": "413-587-6294",
"fax_number": "413-587-6217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "JOHN",
"middle_name": "STEWART",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MA",
"license": "156145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.