Individual provider Active NPI

Justine Sarah McCarthy, M.D.

  • Child & Adolescent Psychiatry Physician
  • Easthampton, MA
National Provider Identifier
1629078092
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
74089 Issued in MA
Practice address
238 Northampton St
Easthampton Health Center
Easthampton, MA 01027-1046
Phone
(413) 529-9300
Fax
(413) 282-3880
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 74089 MA
Child & Adolescent Psychiatry Physician 2084P0804X 74089 MA Primary

Addresses

Primary practice location

238 Northampton St
Easthampton Health Center
Easthampton, MA 01027-1046

Mailing address

PO Box 5700
Belfast, ME 04915-5700
Phone (866) 431-4077

Other identifiers 2

IdentifierTypeStateIssuer
J11175OtherMABLUE CROSS & BLUE SHIELD
3078426MedicaidMA

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000857 MA Practitioner - PsychiatryPractitioner - Other (Physician) 1759406044 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group, P.C. Psychiatry CurrentSince Dec 29, 2000 Accepting new patients
Valley Medical Group, P.C. CurrentSince Dec 29, 2000 Accepting new patients

Locations

31 Hall Dr
Amherst, MA 01002
Phone (413) 256-8561

238 Northampton St
Easthampton, MA 01027
Phone (413) 529-9300

70 Main St
Northampton, MA 01062
Phone (413) 586-8400

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1629078092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5700",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155700",
            "telephone_number": "866-431-4077",
            "fax_number": "413-774-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 NORTHAMPTON ST",
            "address_2": "EASTHAMPTON HEALTH CENTER",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271046",
            "telephone_number": "413-529-9300",
            "fax_number": "413-282-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "JUSTINE",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "74089",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "74089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "J11175",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078426",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easthampton, MA

Sources for this page

Verify at the official NPI Registry.