Active NPI
Robert K Eckert, PHD
- Clinical Neuropsychologist
- Northampton, MA
National Provider Identifier
1710032941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 7253
- Practice address
- 19 Center CT
Northampton, MA 01060-3006 - Phone
- (413) 351-5470
- Fax
- (413) 529-1849
- NPI assigned
- Jan 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 7253 | MA | Primary |
| Clinical Psychologist | 103TC0700X | 7253 | MA |
Addresses
Primary practice location
19 Center CT
Northampton, MA 01060-3006
Mailing address
PO Box 469
Easthampton, MA 01027-0469
Phone (413) 351-5470
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0500020 | Other | MA | MBHP-MASS BEH HEAL PARTNE |
| 407 252 | Other | MA | TUFTS NEW ENGLAND |
| W05935 | Other | MA | BLUE CROSS-BLUE SHIELD |
| VC6000241074 | Other | MA | MASS REHAB COMMISSION |
| 0500020 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7253 | MA | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Royal Norwell Nursing & Rehabilitation Center LLC | Past | Accepting new patients |
Interoperability endpoints
- robert.eckert@745645933002756.direct.elationemr.com
Organizations & group practices 1
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.
-
- Skilled Nursing Facility
- Norwell, MA
- NPI 1265862569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1710032941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 469",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "010270469",
"telephone_number": "413-351-5470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 CENTER CT",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603006",
"telephone_number": "413-351-5470",
"fax_number": "413-529-1849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKERT",
"first_name": "ROBERT",
"middle_name": "K",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "7253",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7253",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHP-MASS BEH HEAL PARTNE",
"identifier": "0500020",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS NEW ENGLAND",
"identifier": "407 252",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE SHIELD",
"identifier": "W05935",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS REHAB COMMISSION",
"identifier": "VC6000241074",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0500020",
"state": "MA"
}
],
"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 Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.