Individual provider Active NPI

Karen W. Saakvitne, PH.D.

  • Clinical Psychologist
  • Northampton, MA
National Provider Identifier
1720122070
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4371 Issued in MA
Practice address
43 Center St
Suite # 102
Northampton, MA 01060-3063
Phone
(413) 585-9333
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4371 MA Primary

Addresses

Primary practice location

43 Center St
Suite # 102
Northampton, MA 01060-3063

Mailing address

43 Center St
Suite # 102
Northampton, MA 01060-3063
Phone (413) 585-9333

Other identifiers 2

IdentifierTypeStateIssuer
0502669MedicaidMA
WO4310OtherMABCBSMA

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727001059 MA Practitioner - Clinical Psychologist 4587634662 Practice locations: Northampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

43 Ctr St
Suite 102
Northampton, MA 01060-3004
Phone (413) 585-9333

43 Ctr St
Suite 102
Northampton, MA 01060-3062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001633CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
C.a.a.P. Clinical Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1720122070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 CENTER ST",
            "address_2": "SUITE # 102",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603063",
            "telephone_number": "413-585-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CENTER ST",
            "address_2": "SUITE # 102",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603063",
            "telephone_number": "413-585-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAKVITNE",
        "first_name": "KAREN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0502669",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "WO4310",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.