Active NPI
Michelle Kosche Anfang, M.D.
- Psychiatry Physician
- Longmeadow, MA
National Provider Identifier
1710036983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 76793
- Practice address
- 123 Dwight Rd
Longmeadow, MA 01106-1748 - Phone
- (413) 567-7842
- Fax
- (413) 567-7842
- NPI assigned
- Jan 9, 2007
- Last updated
- Jul 19, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 76793 | MA | Primary |
Addresses
Primary practice location
123 Dwight Rd
Longmeadow, MA 01106-1748
Mailing address
123 Dwight Rd
Longmeadow, MA 01106-1748
Phone (413) 567-7842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11673 | Other | MA | HEALTH NEW ENGLAND |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76793 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1710036983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 DWIGHT RD",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061748",
"telephone_number": "413-567-7842",
"fax_number": "413-567-7842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 DWIGHT RD",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061748",
"telephone_number": "413-567-7842",
"fax_number": "413-567-7842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANFANG",
"first_name": "MICHELLE",
"middle_name": "KOSCHE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "76793",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "11673",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longmeadow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.