Adam G Blefari, PSY.D, NCSP

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

11295 Issued in MA

Practice address

269 1St St
Pittsfield, MA 01201-4727

Phone

(413) 499-9515

Fax

(413) 499-9559

NPI assigned

Dec 4, 2020

Last updated

Dec 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1568067668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RIVERVIEW DR",
            "city": "DALTON",
            "state": "MA",
            "postal_code": "012261312",
            "telephone_number": "413-250-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 1ST ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014727",
            "telephone_number": "413-499-9515",
            "fax_number": "413-499-9559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84 Egremont Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsfield",
            "state": "MA",
            "postal_code": "012017251",
            "country_code": "US",
            "telephone_number": "413-448-9655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Burbank St",
            "address_purpose": "LOCATION",
            "city": "Pittsfield",
            "state": "MA",
            "postal_code": "012014840",
            "country_code": "US",
            "telephone_number": "413-448-9690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEFARI",
        "first_name": "ADAM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PSY.D, NCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "5416",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MA",
            "license": "506976",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "11295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael B Blackman, MD
• Noel Blagg, M.D.
• Gina Blake
• Agnes Blay
• Andrew David Blechman, BA, MA
• Hailey Blois, BCBA
• Samuel Boateng, CRNP
• Andrea Marangoni Bodine, M.D.
• Kelly Anne Bodnar
• Bodywise Health Collaborative PLLC

• Clinical Child & Adolescent Psychologist in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Clinical Child & Adolescent Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.