Active NPI
Jack T. Laforte, PH.D.
- Psychologist
- Northampton, MA
National Provider Identifier
1720176019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4323
- Practice address
- 53 Center St
Northampton, MA 01060-3000 - Phone
- (413) 586-6100
- Fax
- (413) 586-3332
- NPI assigned
- Oct 11, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4323 | MA | Primary |
| Marriage & Family Therapist | 106H00000X | 33 | MA |
Addresses
Primary practice location
53 Center St
Northampton, MA 01060-3000
Mailing address
53 Center St
Northampton, MA 01060-3000
Phone (413) 586-6100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33 | Other | MA | LMFT LICENSE |
| 799131 | Other | MA | TUFTS HEALTH PLAN PROVIDE |
| 84244110 | Other | MA | UBH ONLINE ID |
| 4323 | Other | MA | PSYCHOLOGISTS LICENSE |
| 004556 | Other | MA | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 6, 2020 through Aug 6, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33 | MA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1720176019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 CENTER ST",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603000",
"telephone_number": "413-586-6100",
"fax_number": "413-586-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 CENTER ST",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603000",
"telephone_number": "413-586-6100",
"fax_number": "413-586-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFORTE",
"first_name": "JACK",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4323",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "33",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT LICENSE",
"identifier": "33",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN PROVIDE",
"identifier": "799131",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH ONLINE ID",
"identifier": "84244110",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGISTS LICENSE",
"identifier": "4323",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "004556",
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.