Organization Active NPI

Labyrinth Psychological Services, P.C.

  • Clinical Psychologist
  • Holden, MA
National Provider Identifier
1609233790
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7130 Issued in MA
Legal business name
LABYRINTH PSYCHOLOGICAL SERVICES, P.C.
Practice address
800 Main St
Holden, MA 01520-1838
Phone
(508) 797-7110
NPI assigned
Jan 21, 2016
Last updated
Mar 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Dr. Hanya Harris Bluestone, PH.D.NPI 1487693388
Title
Owner/Chief Executive Officer
Phone
(508) 797-7110

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 Psychologist 103TC0700X 7130 MA Primary

Addresses

Primary practice location

800 Main St
Holden, MA 01520-1838

Mailing address

800 Main St
Holden, MA 01520-1838
Phone (508) 797-7110

Other identifiers 1

IdentifierTypeStateIssuer
1487693388OtherMANPI INDIVIDUAL PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160331001618 MA Part B Supplier - Clinic/Group Practice 5597062877 Receives reassigned benefits from 3 practitioners
Practice locations: Holden, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1609233790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201838",
            "telephone_number": "508-797-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201838",
            "telephone_number": "508-797-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABYRINTH PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "BLUESTONE",
        "authorized_official_first_name": "HANYA",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "OWNER/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "508-797-7110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL PROVIDER",
            "identifier": "1487693388",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.