Individual provider Active NPI

Jack T. Laforte, PH.D.

  • Psychologist
  • Northampton, MA
National Provider Identifier
1720176019
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4323 Issued in MA
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
33OtherMALMFT LICENSE
799131OtherMATUFTS HEALTH PLAN PROVIDE
84244110OtherMAUBH ONLINE ID
4323OtherMAPSYCHOLOGISTS LICENSE
004556OtherMAVALUE 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

LicenseStateTypeSpecialty
33MAMDMarriage & 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

Verify at the official NPI Registry.